Report on Confidential Enquiries into Maternal Deaths in England and Wales 1955- 1957

Walker, A. L.; Wrigley, Anthony; Organe, Geoffrey; Chamberlain, Roma N.; Martin, William J.

doi:10.1097/00006199-196101030-00084

Cited by 8 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As has frequently been said (Walker et al, 1957(Walker et al, , 1960Wylie, 1961), obstetric anaesthesia should be the responsibility of skilled and experienced anaesthetists and not be delegated to juniors early in their training. The dangers associated with the regurgitation of gastric contents can be greatly reduced if the anaesthetic is given by a skilled person using a technique with which he is thoroughly familiar; and if these conditions are fulfilled it seems to make very little difference what anaesthetic is used.…”

Section: Discussionmentioning

confidence: 96%

“…No clinically significant rise in carbon-dioxide tension was produced. General anaesthesia is nowadays responsible for only a small number of maternal deaths, and this number is diminishing; thus there were 19 maternal deaths in England and Wales due to the complications of anaesthesia in 1954, but only eight in 1957 (Walker et al, 1957(Walker et al, , 1960. However, general anaesthesia is probably responsible for a much greater amount of maternal morbidity, possibly for some perinatal deaths, and it may increase the incidence of neonatal asphyxia; but accurate information is lacking, and this is essential if the risks to mothers and babies associated with obstetric operations are to be reduced.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of Anaesthesia on the Incidence of Maternal Morbidity, Neonatal Asphyxia, and Perinatal Mortality

Huntingford¹

1963

BMJ

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Influence of Anaesthesia on the Incidence of Maternal Morbidity, Neonatal Asphyxia, and Perinatal Mortality

Huntingford¹

1963

BMJ

View full text Add to dashboard Cite

“…We must never forget that the fight to reform the abortion law took over 30 years and that before 1967, abortion accounted for 14% of all maternal deaths in Britain. 16 The average age of first sex in Britain is 16 years, the average age of first birth 30 years, and most women wish for only two children (some 17% want none). 17 This means that most women spend their fertile lives trying to avoid unintended pregnancy.…”

mentioning

confidence: 99%

The British 1967 Abortion Act—still fit for purpose?

Regan

Glasier

2017

The Lancet

View full text Add to dashboard Cite

Oct 27, 2017 marks the 50th anniversary of the British Abortion Act, written "to amend and clarify the law relating to termination of pregnancy by registered medical practitioners". 1 Amended in 1990 to include selective reduction of a multiple pregnancy, the Abortion Act governs abortion in England, Scotland, and Wales (Britain), the first law in western Europe to formally legalise abortion for several indications. Abortion is common. Worldwide, an estimated 25% of all pregnancies end in abortion 2 and one in three women in Britain will have an abortion by age 45 years. 3 In 2016, there were more than 200 000 safe abortions in Britain. 3,4 Yet abortion remains controversial-its availability across the world depends less on medical or public health need and more on religious, moral, and political beliefs. Restricting access to abortion does not deter women from seeking one but drives them to unsafe, clandestine procedures from which they may die. In 2011, rates of unsafe abortion were three times higher in countries with more restrictive abortion laws compared with countries with less restrictive laws. 5 Abortion laws are generally more restrictive in lowincome and middle-income countries (LMICs); only 20% of LMICs allow abortion for socioeconomic reasons and 16% on request. 5 Restrictive policies do not reduce abortion rates. In 2010-14, rates were estimated at 34 abortions (90% uncertainty interval 29-46) per 1000 women in countries where abortion is legal on request and 37 (34-51) per 1000 women in countries with no legal grounds for abortion. 2 Liberalising abortion laws saves women's lives. In Romania, the relaxation of abortion legislation in 1989 led to maternal mortality falling by more than 50% in less than 1 year. 6 An analysis by the Guttmacher Institute of countries that have lifted some restrictions to access over the past two decades showed a decline in abortion-related mortality and morbidity. 7 There is no doubt that in those countries with restrictive laws, 50 years of legislation similar to the 1967 Act would have saved millions of lives. Nevertheless, the 1967 Abortion Act in Britain is outdated, placing unjustified and time consuming barriers in the way of women seeking an abortion. Two doctors must give written approval and the procedure must be undertaken in an "approved" place and notified to the Chief Medical Officer. Much has changed in Britain since 1967, when all abortions were undertaken surgically. Abortion today is a simpler and safer procedure: in 2016, 62% of all abortions in England and Wales 3 and 83% in Scotland 4 were medical abortions (mifepristone and misoprostol administered in a health-care setting). The National Health Service (NHS) has also changed. Nurses now do colposcopies, cystoscopies, hysteroscopies, and manage women who have miscarriages, including surgical evacuation of the uterus. Despite their competence, nurses are not allowed to carry out the same procedure for a woman seeking an abortion. Homecare is available for many NHS procedures, including intravenous ch...

show abstract

“…M assive A sp iratio n k a n n d er E rstick u n g gleichkom m en; die In h a la tio n von sau rem M agensaft fü h rt n ic h t selten noch nach T ag en zum T ode (M endelson-S y n d ro m [48,2,69]). N ach W alker [68] u n d Dietel [14] ste h e n E rb re c h e n u n d A spiration in der G eb u rtsh ilfe an d er S pitze d e r g efäh rlich en K o m p lik atio n en , w elche d u rch die A n ästh esie ausg elö st w erd en [45,16,47,42], und sind in 60 % U rsache d er m ü tte rlic h e n T odesfälle. F ü r eilige un d dringende g eb u rtsh ilflich e E ingriffe m üssen d esh alb folgende F o rd eru n g en erh o b en w erd en :…”

unclassified

Halothane zur Anästhesie bei der Sectio caesarea

Kalff¹,

Kapfhammer²

1964

Gynecol Obstet Invest

View full text Add to dashboard Cite

Report on Confidential Enquiries into Maternal Deaths in England and Wales 1955- 1957

Cited by 8 publications

References 0 publications

Influence of Anaesthesia on the Incidence of Maternal Morbidity, Neonatal Asphyxia, and Perinatal Mortality

Influence of Anaesthesia on the Incidence of Maternal Morbidity, Neonatal Asphyxia, and Perinatal Mortality

The British 1967 Abortion Act—still fit for purpose?

Halothane zur Anästhesie bei der Sectio caesarea

Contact Info

Product

Resources

About