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 Announcements and Preeclampsia in the News
 Joint commission decries high maternal death rate
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Caryn
Ask the Experienced Moderator

CarynFamily
USA
8900 Posts

Posted - 01/30/2010 :  5:09:43 PM  Show Profile  Reply with Quote
This includes educating doctors about conditions such as high blood pressure, diabetes or obesity. These can put women at risk if they become pregnant, and affected women should get specialized prenatal care.

The group requires hospitals to have a process for recognizing and responding quickly when a patient's condition worsens.


http://www.chicagotribune.com/news/chi-ap-il-maternaldeaths,0,1339613.story

The Joint Commission's report says:
According to the HCA study, the most common preventable errors are:
Failure to adequately control blood pressure in hypertensive women,
Failure to adequately diagnose and treat pulmonary edema in women with pre-eclampsia...


Information provided on this site is provided for informational purposes only and is not meant to substitute for the advice provided by your own physician or other medical professional. You should not use the information contained herein for diagnosing or treating a health problem or disorder, or prescribing any medication. The Preeclampsia Foundation presents all data as is, without any warranty of any kind, express or implied, and is not liable for its accuracy, for mistakes or omissions of any kind, nor for any loss or damage caused by a user's reliance on information obtained on the site. Professional opinions on this condition vary greatly. The Preeclampsia Foundation endorses no one course of treatment or "cure".

Rebeccac
Advanced Member

USA
787 Posts

Posted - 01/30/2010 :  10:59:23 PM  Show Profile  Reply with Quote
I was extremely fortunate to have a maternal high risk clinic at the hospital where DS was born. I had appointments every 2 weeks during my pregnancy to keep mt diabetes in check and to monitor baby's progress. I met with a certified diabetes educator/RN, my OB and a dietician all in one visit-each visit was 3 hours long. It was at one of my appointments that I was admitted on bed rest and then delivered 3 days later. Our lives were saved because of this.

Two years later, the hospital cut the clinic out of their budget. It makes me mad/sad that women like myself will have to spend extra time going to appointments at different locations or worse yet, not going to appointments because it is too much running around.

Rebecca/DS born at 35 weeks due to pre-e and Class 1 HELLP
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ladybug76135
Advanced Member

USA
603 Posts

Posted - 01/31/2010 :  12:42:14 PM  Show Profile  Reply with Quote
While I am glad that someone is paying attention to this issue, I do not feel like their efforts will make a huge difference. I am on the team that has to respond to this Joint Commission Sentinel Event Alert and it only applies to hospitals. It does nothing about the vast majority of the women who are misdiagnosed out of their doctor's offices (which are not Joint Commisssion Accredited). It will set expectations for inpatient facilities with OB units and ERs that see OB patients. There really needs to be pressure from other regulatory bodies and/or insurance companies on doctor's offices.

Just my $0.02.



Robyn
Allan 10-2-03 @ 28 weeks, 2 lbs 6 oz, 15 inches long (Severe PE)
Jacob 1-1-06 @ 37 weeks, 8 lbs 8 oz (chronic HTN w/Mild-Mod PE vs PIH & GD)
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JMom08
Junior Member

US
468 Posts

Posted - 01/31/2010 :  6:29:31 PM  Show Profile  Reply with Quote
Robyn, that is scary. Tell me where to write letters, and I will write them! :)

Emily
mom to DS #1, born Feb 2006, 36 weeks - PE, c/s
and DS #2, born June 2010 (protein C deficiency clotting disorder; lovenox, lda) - no PE
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misscoleyp
Junior Member

Misscoleyp
USA
404 Posts

Posted - 02/03/2010 :  7:51:21 PM  Show Profile  Send misscoleyp an AOL message  Send misscoleyp a Yahoo! Message  Reply with Quote
Robyn, You are in DFW? So am I and Emily too. We would love to see you at this years Promise Walk!!!

Nicole
South West Regional Coordinator
DFW Promise Walk Chair

1st Trimester M/C 1-17-04
^l^ Cooper Walker 12-28-05
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Caryn
Ask the Experienced Moderator

CarynFamily
USA
8900 Posts

Posted - 03/11/2010 :  11:35:02 AM  Show Profile  Reply with Quote
http://abcnews.go.com/WNT/video/moms-risk-10014105&tab=9482931§ion=1206835&playlist=1363742&page=1

Oooooh, this is annoying.

No mention of the two most common errors leading to maternal death that were found by the Joint Commission's report.

No mention of hypertensive pregnancy.

A "helpful tip" to avoid inductions to lower your risk, omg, even though they *lower* the incidence of severe maternal morbidity in hypertensive pregnancies.

Science is getting us closer to finding a cause, and even a cure. The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies? Lectures from researchers? A chance to participate in research?

Caryn, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
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