Reply to US ranks 40th in places to give birth. Really?

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[quote=Anonymous]Combination of things.

1. lack of access to / interest / ability to get to / etc in prenatal care (even where it's free, many women can't get to the doctors, others are not motivated to go for a variety of factors, others still are so dependent on wage-earning they cannot take time off to get to the appointments without risking jobs, etc etc). 
2. c-section epidemic and related aggressive medicalization of birth. This is a controversial topic on these boards but the simple fact is that 40 percent c-section rate is crazy. Certainly a contributing factor 
3. greater numbers of parents with high risk pregnancies. this has subsets: 
   a. teen pregnancies (are actually just as risky as AMA pregnancies, and there are more of them, sadly) 
   b. obesity, diabetes, sedentary lifestyle, hypertension, undiagnosed heart problems, etc 
   c. poor diet / nutritional deficiencies 
   d. older mom pregnancies (especially first time pregnancies over age 35). (NOTE: I am such a mother - no insult intended) 
4. Premature babies, etc.

I don't think you can really discount any of these factors, and obviously each factor probably has about 30 unstated related subfactors (c sections are an epidemic for SO many reasons, from everything from doctor fear of lawsuits and doctor convenience, to parental convenience, misinformation about risks, management of labor, and yes, patient's own choices).

In any case, it is appalling and simply must be addressed. [/quote]

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