Maternity Healthcare

Paper Summary:

This paper explains that the U.S. spends more per capita on health care than Switzerland, Canada and practically all advanced nations; but these other countries provide better health care as indicated by services provided at a much lower cost and the output measures of longevity and infant mortality. The author points out that superior medical care is available for pregnant women in all three of these Western nations; however, access to the very best medical care is generally restricted to the affluent in the United States and is constrained by regulatory, geographic proximity and social issues in Canada and Switzerland. The paper relates that U.S. has higher rates of fertility and of pregnancies aborted; the population of expectant mothers in the United States is younger, less mature, less experienced and less financially stable. Tables

Table of Contents
Introduction
Review and Discussion
Health care Options - United States
Summary
Conclusion and Critique

From the Paper:

"Recent changes in some provinces and states to again allow midwives to practice is encouraging. Nurse midwives are legally licensed to practice in all states. There are nurse midwifery schools in 17 states and certification programs in others. British Columbia and Ontario have passed laws that make midwifery legal. There are also non-medical home births and birthing centers in some areas where only emergency or high-risk mothers are sent for medical care. Finally, there are active organizations attempting to transfer some of the responsibility for neonatal care away from the hands of the medical industry and into the hands of Canadian mothers."

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