[Jurisprudence (37). Paragraph 9, Maternal Welfare Act. Abortion is not a "delivery" following paragraph 9 section 1 of the Maternal Welfare Act].
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The Maternal Welfare Committee of the County of Nassau reports on the past 25 years of its activity. Its activities rapidly changed from a retrospective analysis of maternal deaths to a much broader concern of all subjects pertaining to maternal welfare. The function of the committee has never been punitive, but has always been educational. This was appropriate because the incidence of maternal deaths decreased to such a degree that it is no longer a major health problem in the United States. The identification of high risk factors in patient, physician, hospital, and society in general are outlined. Current major problems are: general anesthesia, pulmonary embolism, and ectopic pregnancy.
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A maternal welfare committee was founded in 1947 by representatives of nine hospitals in San Diego County, with the purpose of inquiring into all deaths involving maternity in order to reduce maternal mortality. At open meetings cases of such death are reviewed and a vote is taken on whether the death was preventable. Deaths of newborn children are also investigated for preventable factors. From 1947 to 1952 the maternal mortality rate has declined among residents of the county from 7.3 per the thousand live births to 2.7. It is believed that the emphasis placed on high standards of prenatal and postpartum care by the committee's observations has greatly aided in securing this improvement.
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