Public health and insurance: American addressesNewsholme, Arthur, Sir
History
Public health and insurance: American addresses
Newsholme, Arthur, Sir
Health insurance -- Great Britain; Public health; Public health -- Great Britain
It would be a mistake to assume that only since war began have
efforts both by sanitary authorities and by voluntary agencies been
made on a large scale to diminish infantile and maternal mortality.
But during the war, and since it terminated, these efforts have been
redoubled and are becoming universal; and there is opening out a
prospect of safe maternity for mothers and of protected infancy for
all newcomers on the stage of life. If only we are prepared to do
what is almost immediately practicable for this end, death or injury
associated with child-bearing will become rare, the loss of infant
and child life will be halved, and what is still more important,
mothers and infants will cease to be damaged by neglect or ignorance
at critical periods of their life, and will not become burdens to
themselves and to the community.
This is no visionary dream. Past experience shows that it is within
reach. What other interpretations can be placed on the facts revealed
in official reports?
I am unable to quote Canadian figures; but I am justified in assuming
that differences similar to these I am about to quote from my own
reports exist also here. The average number of deaths of mothers
from complications arising during pregnancy, and at or after
confinement, are one maternal death for every 250 infants born
alive. In some parts of England instead of four mothers, six or even
eight or nine mothers die for every thousand infants born. There
are marked differences in maternal mortality in neighbouring towns
and districts; and the only conclusion which fits in with the facts
is that, in many parts of the country, the arrangements for medical
attendance on mothers at and before their confinement are inadequate
or deficient in quality or both.
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