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Baby Deaths Make Docs Consider Quitting

Stillbirth, Deaths Cause Guilt, Anxiety

Monday, June 30, 2008

One in 10 obstetricians considers giving up the practice because of guilt and anxiety over stillbirths and other infant deaths, according to a new survey.

Also, three-quarters of more than 800 doctors in a University of Michigan survey said the deaths take a large emotional toll.

"We know that stillbirth and infant death are traumatic events for families; this study suggests that they are also traumatic for the physician," said lead author Katherine Gold.

In the U.S., about 1.3 percent of pregnancies end in stillbirth or a death in the first year of life. So a typical obstetrician would deal with one or two deaths a year, as well as more than 20 miscarriages at earlier stages.

The survey also found that doctors worry about lawsuits. Stillbirths are the second most common reason for malpractice suits against obstetricians -- neurological problems are No. 1.

Forty-three percent of obstetricians said they had worried about disciplinary or legal action due to a death with no identified cause.