Is it your contention only our poor are too dumb to seek out a doctor? Or is it your contention that barriers to services are not an inherent property of our system?
And thus all the deaths of babies are a failure of some sort or another. The fact those failures break down along socio economic grounds and inner city demographics reflect a societal failure
rather than an individual failure. A societal failure because the deaths have less to do with the individual but are predictable due to their location and income.
Typically folks expecting a baby will select their doctor and have a first visit with 8-12 weeks from conception. In this meeting:
medical history that is taken; questions about your health, your medical history, menstrual history, lifestyle, and your family's medical history. are discussed.
People often want to discuss nutrition, sexual relations, exercise, what limitations they have. Doctors also will give out direct telephone numbers so if any questions come up during the process you can call them up to discuss it. In addition to this the following exams are typically given..
- Pelvic Exam (Pap Smear, bimanual exam, GC)
- Blood Work (Rubella titer, Hematocrit/Hemoglobin, HIV/AIDS)
- Blood pressure
- Urine Screen
- Breast Exam
some of these done at every visit (blood pressure, urine screen, weight, and later they will add a fundal height check and listening for the baby heartbeat (About 12 weeks is average to hear the heartbeat with a Doppler.)
After the initial visit... Doctor appointments for most women fall along the following lines.
- Every 4 weeks until 28 weeks of pregnancy
- Every 2 weeks until 36 weeks of pregnancy
- Every week until 41 weeks
- Every few days until you give birth
So in all many women will see a doctor they selected personally as many as 21 times before they give birth and have thousands of dollars worth of tests and hours of consultations. Most all of this is paid for by private insurance.