Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 48

The common assumption that safe childbirth is a side effect of national prosperity is wrong: with prosperity we see increasing numbers of women with co‐morbidities, an increase in age of the pregnant population, and most notably an increase in obesity. While complications such as thrombosis can often be prevented, this is not always the case. Other pathology such as haemorrhage (which can sometimes be prevented or minimised by prompt recognition and timely intervention) can still be catastrophic, and conditions such as pre‐eclampsia cannot be prevented completely. In all these, and many more situations, prompt and effective treatment is saving lives routinely on a daily basis throughout the UK. When a death does occur, the public expects exhaustive analysis: sometimes this reinforces old lessons, but often new lessons emerge. One conclusion is clear from reviewing CEMD reports from the past 60 years: when vigilance is relaxed, people die.