Why Giving Birth Is Safer In Britain Than In The US

At 11:58 pm this past June 25, Helen Taylor gave birth to her first baby, a boy, at West Suffolk Hospital in the east of England. At 11:59 pm, with 15 seconds to spare before midnight, his sister was born. The obstetrician and her team were pleased; the cesarean section was going smoothly, fulfilling Helen’s wish that her twins share a birthday.

But 40 minutes later, Helen had lost over a third of her blood. Enraptured by new motherhood, she barely noticed when the obstetrician’s head appeared around the surgical drape. “We need to give you a drug to help stop the bleeding, is that OK?” Helen nodded. Ten minutes passed before the question came again. Then again. The fourth time, Helen realized something was seriously wrong.

During pregnancy, the uterine blood vessels that nourish the fetus are wide open. Once the baby is delivered and the placenta removed, these vessels should constrict and close. If they don’t, as with Helen, the mother can bleed profusely. She may reach a point where her body can no longer compensate for the blood loss. The extent of the flow can be unpredictable and sometimes catastrophic. The surgical team’s response must be meticulous. And fast...