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The Undiminishing Maternal Mortality
In previous letters the concern caused by the undiminished maternal mortality, while all other mortalities have declined, has been mentioned. A committee of eminent obstetricians appointed by the government to advise on the application to maternal mortality and morbidity of the medical and surgical knowledge at present available has presented its final report. In 48 per cent of the cases a "primary avoidable factor" in the form of omission or inadequacy of antenatal examination, error of judgment in management, lack of facilities, or negligence in following advice, was found. In 1930 there were 4.4 deaths per thousand live births and the figure for puerperal sepsis was 1.92.
Sepsis was responsible for 18 per cent of the deaths. The majority were due to sporadic infection and could have been prevented by a conscientious technic. In a fifth of the cases the labor was difficult, and
LONDON. JAMA. 1932;99(11):926–927. doi:10.1001/jama.1932.02740630052021
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