Amos Grünebaum: Pregnancy Is Not Low Risk Until It Is Over, All Pregnancies Need Optimal Care
Amos Grünebaum, Professor of Obstetrics and Gynecology at Donald and Barbara Zucker School of Medicine, shared a post on LinkedIn:
“I wrote this article for High-Risk Pregnancy Awareness Week because, as an ObGyn and maternal-fetal medicine specialist, I believe the phrase ‘high risk’ is useful only if we stop pretending its opposite is ‘low risk.’
Pregnancy risk is not binary. Never was. In fact, many adverse outcomes happen in pregnancies deemed ‘low risk’. It is individualized, measurable, dynamic, and every pregnant woman deserves optimal care in a setting prepared for complications before the label fails.
Even among pregnancies classified as low risk, adverse outcomes are not rare: in a U.S. analysis of more than 10 million births, 29% of low-risk pregnancies had at least one unexpected complication requiring nonroutine obstetric or neonatal care, and by calculation these low-risk pregnancies accounted for roughly one quarter of all such complications.
In India, 46.6% of newborn deaths and 56.3% of stillbirths occurred among women classified as low risk under national guidelines.”
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