In an order that does not correspond with the article: Very high C-section rates, born out of OB/GYN training that concentrates on the abnormal and generally e

In an order that does not correspond with the article: Very high C-section rates, born out of OB/GYN training that concentrates on the abnormal and generally emphasizes an interventionist approach, shift mortality burden to mothers from children. Lack of standardization of care means OB/GYNs follow idiosyncratic rather than evidence-based protocols. This is particularly striking when it comes to maternal death from pre-eclampsia or HELLP. These are complications that are easy to treat in an algorithmic fashion if you care to bother. Anti-coagulants after C-section -- another boring, algorithmic treatment that would decrease mortality a bunch. Moms are getting a older and less healthy. This is also true in other countries and they do a lot better, because other countries make it a priority to deliver low-cost prenatal and maternal care. US emphasis on personal responsibility leads to an attitude that moms should treat themselves/advocate for themselves/blah blah. Prenatal care is not as easy to access as it should be, postnatal care is almost nonexistent (both medical and mental health). Inequality in the US, ranging from economic to straightforwardly racial, leads to poorer outcomes for many groups.