http://www.medscape.com/viewarticle/554147?src=mp 
Born in the USA: How a Broken Maternity System Must be Fixed to Put Women 
and Children First
Med Scape Nurses Book review posted 3/28/2007
I found the information and premise  refreshing and hopeful.



"The last 2 chapters are well worth the read because if one gets beyond 
Wagner's negativity toward the US healthcare system, the presentation of 
guiding principles, practical changes, and intended outcomes from the 
reforms that he proposes is masterfully done. The vision presented is one 
that is rooted in the value of a national health system that would 
universally provide care to all pregnant women, not just those with some 
sort of public or private healthcare coverage. Other aspects to the vision 
include:

1.      Promotion of at-home deliveries, especially for low-risk births

2.      Increased use of midwives for low-risk births

3.      Access to obstetricians for high-risk maternity care with a shared 
responsibility with midwives for the routine aspects of the care, even for 
the high-risk maternity patient

4.      Increased scrutiny, transparency, and accountability of the 
healthcare delivery system

5.      Continued education of maternity care providers

6.      A focus on public education on maternity care."    As reviewed by 
Angelo P. Giardino, MD, PhD, MPH



Ann G. Cagigas, RN, MA, IBCLC
GSA Health Unit,  Room 1010
1800 F St., NW
Washington, DC 20405
202-219-1228
202-501-0028 (Fax)

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