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This is the first international study of maternal care and maternal mortality. Over the last two hundred years different countries developed quite different systems of maternal care. Death in Childbirth is a meticulously researched analysis, firmly grounded in the available statistics, of the evolution of those systems between 1800 and 1950 in Britain, the USA, Australia and New Zealand, and continental Europe. Loudon examines the effectiveness of various forms of maternal care by means of the measurement of maternal mortality-- the number of women who died as a result of childbirth. His detailed study answers a number of important questions: What was the relative risk of a home or hospital delivery, or a delivery by a midwife as opposed to a doctor? What was the safest country in which to have a baby, and what were the factors which accounted for enormous international differences? Why, against all expectations, did maternal mortality fail to decline significantly until the late 1930s? It is an invaluable contribution to medical and social history.
This work investigates the historical evolution of maternal care systems and the persistent, high rates of maternal mortality across Western nations between 1800 and 1950. Irvine Loudon, a physician and medical historian, utilizes extensive statistical data and comparative analysis to examine why maternal death rates remained stagnant for over a century despite advancements in medical knowledge. He constructs a framework that evaluates the efficacy of different care providers—midwives versus doctors—and the relative safety of home versus hospital births across Britain, the USA, Australia, New Zealand, and continental Europe.
What You Will Find
Experts recognize this text as a foundational study in the field of medical history, frequently citing its rigorous use of statistical evidence to challenge long-held assumptions about the progress of obstetric care. Readers often note the academic density of the prose, which serves as a comprehensive resource for scholars interested in the intersection of public health policy and social history.
Page Count:
648
Publication Date:
1993-02-11
Publisher:
Clarendon Press
ISBN-10:
0198229976
ISBN-13:
9780198229971
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