Perspectives on Obstetrics
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document in english
medical studies
school essay
date published 19/11/2007
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SummaryMedical writers have recently turned to the opening line of Charles Dickens's A Tale of Two Cities to describe these prevailing times in medicine and obstetrics as "the best of times. . . the worst of times. . ." (Grumbach, 1999; Morrison, 2000). Why are these times at once the best and worst of times for obstetrics? There are many reasons for this, and some are now considered.
Table of Contents
- The chronicle of maternal and infant mortality during the 20th century described earlier should suggest that much is good in the health care of women and their infants'indeed, better than it has ever been.
- The year 2000 marks the 50th anniversary of the American College of Obstetricians and Gynecologists
- There are a number of other indicators from the National Center for Health Statistics and the Centers for Disease Control and Prevention that indicate African-American women are at a significant reproductive disadvantage.
- Other pressing problems include the erosion of health-care safety nets for the uninsured by for-profit plans that all too often quickly abandon the most vulnerable patients when profits are in jeopardy (Bodenheimer, 1997).
- The cost for medical malpractice'insurance premiums, attorney fees, and settlements and awards also continues to erode the health-care dollar.
- Attempts to mitigate some of these contentious issues have been only partially successful because of watered-down versions of legislations engineered by the plaintiffs bar.
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