Putting the "m" back in maternal-fetal medicine

Mary E. D'Alton, Clarissa A. Bonanno, Richard L. Berkowitz, Haywood L. Brown, Joshua A. Copel, F. Gary Cunningham, Thomas J. Garite, Larry C. Gilstrap, William A. Grobman, Gary D.V. Hankins, John C. Hauth, Brian K. Iriye, George A. Macones, James N. Martin, Stephanie R. Martin, M. Kathryn Menard, Daniel F. O'Keefe, Luis D. Pacheco, Laura E. Riley, George R. SaadeCatherine Y. Spong

Research output: Contribution to journalArticlepeer-review

114 Scopus citations

Abstract

Although maternal death remains rare in the United States, the rate has not decreased for 3 decades. The rate of severe maternal morbidity, a more prevalent problem, is also rising. Rise in maternal age, in rates of obesity, and in cesarean deliveries as well as more pregnant women with chronic medical conditions all contribute to maternal mortality and morbidity in the United States. We believe it is the responsibility of maternal-fetal medicine (MFM) subspecialists to lead a national effort to decrease maternal mortality and morbidity. In doing so, we hope to reestablish the vital role of MFM subspecialists to take the lead in the performance and coordination of care in complicated obstetrical cases. This article will summarize our initial recommendations to enhance MFM education and training, to establish national standards to improve maternal care and management, and to address critical research gaps in maternal medicine.

Original languageEnglish (US)
Pages (from-to)442-448
Number of pages7
JournalAmerican journal of obstetrics and gynecology
Volume208
Issue number6
DOIs
StatePublished - Jun 2013

Keywords

  • maternal morbidity
  • maternal mortality
  • maternal-fetal medicine
  • maternal-fetal medicine education
  • maternal-fetal medicine research

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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