Why does the US have the highest maternal mortality rate of any developed country? This piece tackles a very controversial issue in healthcare head on, could the problem be due to racism? The chances of a serious issue is "substantially higher if you come from a minority group, in particular if you are African-American".

We also cover the issue of postpartum hemorrhage, what are the key signs that a patient is at risk? Furthermore, how are quality care initiatives and standardization of care helping improve the field of obstetrics? Also, what is the latest thinking on home births, are they a financial decision for some?

The California Maternal Quality Care Collaborative is here: https://www.cmqcc.org/

For more info on the Society for Obstetric Anesthesia and Perinatology (SOAP) go to www.soap.org

Presented by Desiree Chappell and Monty Mythen with their guest Alexander J Butwick, Obstetric Anesthesiologist and Researcher in maternal hemorrhage, pain relief in labor, and obstetric epidemiology at Stanford University.

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Like this, want more?

On the subject of obstetrics find out more here:

EBPOM Highlight 1.27 | Obstetric anaesthesia - https://www.topmedtalk.com/ebpom-highlight-1-27-obstetric-anaesthesia/

ASA 2018 San Francisco | Smith's Medical Symposium on Enhanced Recovery – Part 5 - https://www.topmedtalk.com/asa-2018-san-francisco-smiths-medical-symposium-on-enhanced-recovery-part-5/

Periop Coach 4.10 | Enhanced Recovery for obstetrics https://www.topmedtalk.com/periop-coach-4-10-enhanced-recovery-for-obstetrics/