Gerald W Lawson

John Hunter Hospital, New Lambton, New South Wales, Australia

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Publications (2)4.1 Total impact

  • Gerald W Lawson, Marc J N C Keirse
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    ABSTRACT: Nearly every 2 minutes, somewhere in the world, a woman dies because of complications of pregnancy and childbirth. Every such death is an overwhelming catastrophe for everyone confronted with it. Most deaths occur in developing countries, especially in Africa and southern Asia, but a significant number also occur in the developed world. We examined the available data on the progress and the challenges to the United Nations' fifth Millennium Development Goal of achieving a 75 percent worldwide reduction in the maternal mortality by 2015 from what it was in 1990. Some countries, such as Belarus, Egypt, Estonia, Honduras, Iran, Lithuania, Malaysia, Romania, Sri Lanka and Thailand, are likely to meet the target by 2015. Many poor countries with weak health infrastructures and high fertility rates are unlikely to meet the goal. Some, such as Botswana, Cameroon, Chad, Congo, Guyana, Lesotho, Namibia, Somalia, South Africa, Swaziland and Zimbabwe, had worse maternal mortality ratios in 2010 than in 1990, partially because of wars and civil strife. Worldwide, the leading causes of maternal death are still hemorrhage, hypertension, sepsis, obstructed labor, and unsafe abortions, while indirect causes are gaining in importance in developed countries. Maternal death is especially distressing if it was potentially preventable. However, as there is no single cause, there is no silver bullet to correct the problem. Many countries also face new challenges as their childbearing population is growing in age and in weight. Much remains to be done to make safe motherhood a reality. (BIRTH 40:2 June 2013).
    Birth 06/2013; 40(2):96-102. DOI:10.1111/birt.12041 · 2.05 Impact Factor
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    Gerald W Lawson
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    ABSTRACT: In 2000, the Term Breech Trial was published, and its authors recommended cesarean section as the safest mode of delivery for breech-presenting babies. Criticisms of the trial were raised at the time, which the authors dismissed. Since then, maternal deaths have been recorded among women undergoing cesarean sections for breech presentations. Accordingly, those initial criticisms deserve to be revisited.
    Birth 03/2012; 39(1):3-9. DOI:10.1111/j.1523-536X.2011.00507.x · 2.05 Impact Factor

Publication Stats

12 Citations
4.10 Total Impact Points

Top Journals

Institutions

  • 2012–2013
    • John Hunter Hospital
      New Lambton, New South Wales, Australia