U.S.

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时间:2010-12-5 17:23:32  作者:Crypto   来源:Transportation  查看:  评论:0
内容摘要:Nir Oz was one of the

Nir Oz was one of the

Midwife Stephanie Wood examines Courtney Knight during a pregnancy checkup. Midwives at Commonsense Childbirth are striving to provide good, accessible care. (AP Photo/Laura Ungar)Midwife Stephanie Wood examines Courtney Knight during a pregnancy checkup. Midwives at Commonsense Childbirth are striving to provide good, accessible care. (AP Photo/Laura Ungar)

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U.S. rates remain high despite proven ways to prevent maternal deaths and injuries, experts say — things like ensuring quality medical care at delivery; getting to know patients; addressing issues like addiction or poor nutrition; and providing care and support after the baby is born.One of the most important things is making sure everyone can get regular prenatal checkups, which requires having enough health care providers.Consider Norway, which has the lowest maternal mortality rate in the world: zero. Through its universal health care system, people get free prenatal appointments at health centers near their homes. And like Sweden, Germany, France and the U.K., it has a robust supply of midwives.

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For every 1,000 live births, Norway has 13 OB-GYNs and 54 midwives, thefound, compared with 12 OB-GYNs and four midwives in the U.S. The

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deems more than a third of American counties maternity care deserts and recommends integrating and expanding midwifery in all states.

Regular care — for every pregnant person, no matter their financial or legal status — means problems are spotted and treated early, said Roosa Sofia Tikkanen, a doctoral candidate at the Center for Global Health Inequalities Research in Norway. She said immigrants lacking permanent legal status are entitled to the same prenatal care as others, plus translation services if necessary.“I think what (drugstores) have realized in the past couple years is that they are a little thinly spread out,” said Keonhee Kim, an analyst at the research firm Morningstar.

Prakash Patel, owner and pharmacist, foreground, works at Bert’s Pharmacy in Elizabeth, N.J. (AP Photo/Shelby Lum)Prakash Patel, owner and pharmacist, foreground, works at Bert’s Pharmacy in Elizabeth, N.J. (AP Photo/Shelby Lum)

Blame the closings on problems like sliding revenue and rising expenses. For years, the reimbursement that drugstores receive for filling most prescriptions has shrunk while things like utilities and employee pay continue to climb., and Walgreens has cited it as one of the many reasons it closes stores. Drugstores often carry small, pricey items like beauty supplies, batteries and baby formula that are easy to steal and resell, said Burt Flickinger III, managing director of the retail consulting firm Strategic Resource Group.

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