_National
Poor mothers may face doctors unwilling to deliver
By Paul Re< er
Assoc iated Press
wAsniNt; ro\ iapj \
fc<ir of l>•*iuyj sued is ( ausim;
doctors to stop delivering bn
hies. leaving impoverished
women with poor obstetrical
i are and contributing to an in
t rease in infant mortaldv. the
Institute of Medii ine savs
'Signilit ant numbers ' of oil
stetrii ians. famiK physicians
and nurse-midwives nov\ are
limiting their prat tices because
of frequent malpractice law
suits and sharph increasing in
surance premiums the institute
study committee reported
Wednesday
" The tear of being sued has
caused many doctors and mid
wives to limit care espet i.dl\
lor women with high-risk preg
riant ies." said Roger | Bulger
i hail man ol the t nmmittee and
president of the Assot iation of
At atlemit I le.ilth ( ienteis
"In urban areas, tins often
means that low income women
have been burl the most b\ the
lack of providers.” lie said but
noted that there is a serious
shortage of obstetrical tare in
both rural and inner areas
lie said health providers lentl
to avoid patients with high nsk
pregnant ies Fhese most often
are the impoverished bet ause
they generall\ are more bkeh
to smoke and have pom diets
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GJ.-T.
both cl \vln< It intrease the risks
ut li.tv mi; ,im imperils t i inlil
()ni‘ result he said. is that
the I Hileil States ranks Pith m
the world m ml,ml mortality
and In some measures the sta
tistii s ol infant death are get
t mg worse
In ItlH.V infant mortality tor
hi,u ks and other non whites ai
tually mi reused tor the tirst
time m JO years said llulgei
While the i:ausi*s tor this in
i rease are many the inaccessi
bilily ol i are lor poor women a
situation i learly made worse In
I i,iliiI it\ ( oni erns, is an impur
taut tai lor
The i onimittee, w hit h in
i hides dm tors, lawyers and ed
in aims suggested both short
term and long-term solutions
Immediate ai lions rei ommend
ed w ere
• St itt! subs I Hit’s tiii : 11<-i i ii .it 11
ability premiums for nhstntru.il
providers who treat women on
Medii .iid
• Ki'unii|j tlir \.ilimi.it lii'iilth
Serve e (airps t ins would pro
vide more to,ins for medii at
students who then would be
i till mated to serve in areas
where physii tans are in short
supph
1 or more permanent solu
lions. I he committee rei mil
mended
• Stale experiments with altei
natives to the system of modi
i at liahllitv Possible models
i ould ini hide a no fault i om
pensation s\ stem lot i ert.im
conditions such as neurolovji
< al impairment of a new horn
Also simi’esled were nevjoliated
contrails between dm toi and
patient and eslahl is|i I in; in id
\ .mi r .1 m sti'in ill htmling .11 In
(ration In si'ltlf ilispulfs
• ( uhmiIi-i.itiun ill .1 plan In
thr Amrrti .111 Mi'iln ,il Assm 1,1
lion lit.it i .ills fm an ailntinis
Ii.iIui' pun i'smiix 11I 1 laiins that
unulil ilrli'rmini' fault. liv.
.mauls ami ilisi iphui' iiIIimiiI
ITS
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ll is c,is\ |o iiiulrist.ind this
Sltll.lt 1(111 Stilt C Itlllsl ( list's 111
vtilti- hi.tuitl.im,ti^cil ml.nils
ultttsc parents nciii'i.ilK art1
utlltiitil the restitutes In pin
\ itl<' Im .i lilelime el t timplev
In 1985, infant mortality for blacks and
other non-whites actually increased for
the first time in 20 years
— Roger Bulger
• l lii* < ommitli'i* Iciunil ili.il li*
H.il i I,mu*, .i^.imst ntislrlrii i.iiis
run tun to lliri't* limns lughi'i
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IH111 i I i .ire Huiurr s.iul
M.ilpr.ii In i1 msur.mi <• proiiii
unis Ini nbslrlrii s in sunn' i it
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