By the 1970s, the call for natural childbirth was spread nationwide, in conjunction with the second-wave of the feminist movement. While it is still most common for American women to deliver in the hospital, supporters of natural birth still widely exist, especially in the UK where midwife-assisted home births have gained popularity. Epidemiology
The United Nations Population Fund estimated that 303,000 women died of pregnancy or childbirth related causes in 2015. These causes range from severe bleeding to obstructed labour, for which there are highly effective interventions. As women have gained access to family planning and skilled birth attendants with backup emergency obstetric care, the global maternal mortality ratio has fallen from 385 maternal deaths per 100,000 live births in 1990 to 216 deaths per 100,000 live births in 2015, and it was reported in 2017 that many countries had halved their maternal death rates in the last 10 years.Outcomes for mothers in childbirth were especially poor before antibiotics were discovered in the 1930s, because of high rates of puerperal fever. Until germ theory was accepted in the mid-1800s, it was assumed that puerperal fever was caused by a variety of sources, including the leakage of breast milk into the body and anxiety. Later, it was discovered that puerperal fever was transmitted by the dirty hands and tools of doctors.Home births facilitated by trained midwives produced the best outcomes from 1880 to 1930 in the US and Europe, whereas physician-facilitated hospital births produced the worst.
Road rash is a colloquial term for skin injury caused by abrasion with road surfaces, often as a consequence of cycling and motorcycling accidents. It may also result from running, inline skating, roller skating, skateboarding, and longboarding accidents. The term may be applied to both a fresh injury and also to the scar tissue left by an old injury. Symptoms may include pain and heavy bleeding. Motorcyclists can reduce the risks of road rash by wearing appropriate motorcycle personal protective equipment such as a full face helmet, protective clothing, gloves, dusters and boots. Similarly, inline skaters can reduce their chance of such abrasion injuries by wearing protective knee and elbow pads. Road rash is often termed gravel rash in the United Kingdom. The term is old and is mentioned in Rudyard Kiplings Kim (1901). According to the OED it first appeared in print in the Hottens Dictionary of Modern Slang, Cant, and Vulgar Words (2nd Ed, 1860). References
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Abrasions and Road rash
Road rash - abrasion treatment