Maternal death: a century of getting it wrong | Basky Thilaganathan | TEDxWandsworth
ฝัง
- เผยแพร่เมื่อ 29 ก.ค. 2024
- Basky's research interests are focused on obstetrics and high risk pregnancies with a particular interest in pre-eclampsia which accounts for 40% of maternal deaths worldwide and contributes to 25% of overall neonatal morbidity. During the last decade, substantial progress has been made towards understanding its causes. In this talk, Basky will reveal emerging evidence that pre-eclampsia is actually a cardiovascular disorder that effects some of its actions through the placenta.
Basky Thilaganathan was appointed in 2008 as Professor of Fetal Medicine at St George’s, University of London. Before that, he was Reader in Fetal Medicine since 2005 and appointed Director of Fetal Medicine at St George’s Hospital in 1999. His research interests are focused on obstetrics and high-risk pregnancies (Materno-Fetal medicine), with a particular interest on maternal cardiac function, placental function, fetal growth and pre-eclamspsia.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at ted.com/tedx
This man is the greatest human being in this world a real life walking Angel ❤️ saved my twin boys lives while they still in the womb, without him they would not be here today happy and healthy, even named one of their middle names after him ‘Basky’ it’s the least I could do ❤️
That's incredible!!! So glad your boys are ok. I've just seen him on Gogglebox and sobbed. He is a real life hero ❤️
@@eleanorpaisley5541 thank you yeah fit and healthy ❤️
Here after baby surgeons on channel 4. What an incredible man. What him and his team do is a miracle. His gifts are definitely God given... just amazing!!
This man is just amazing! My son was diagnosed at 16 weeks wirh CDH- a congenital diaphragmatic hernia & he helped me all the way through my pregnancy 🙏🏼
Basky I am a doctor from Argentina and I completely agree with you!! You are the brilliant one and you explained this topic like a teacher, like what you are
Great information to have as a sonographer!
Excellent. Great calm delivery. So easy to follow and take in. Thank you.
Wish I would have seen this years ago. Delivered my son in 2015, urgent c-section due to preeclampsia. BP never went down due to retained placenta (at 10 weeks). Now almost seven years later continued elevated BP, uncontrolled by meds and higher than when I was pregnant. Continued swelling of left leg and chest pain. Very strong cardiac history on my paternal side and keep getting brushed off by doctors here in America. RN as well so appreciate hearing this form both a patient side and medical professional side.
well informing and well articulated
Though there was no mention of preventive diet and nutritional counseling.
Discussions around cardiovascular origins or preeclampsia are hotting up. Debates in BCOG, DIP, WCMFM, FMF, ISSHP and COGI congresses - all in one year. Please share!
Very very nice and a wonderful
Maternity mortality ratio is calculated by the death versus live birth. If the baby was still birth, and the mother dies, what is it? A car accident?! Why is it calculated this way, instead of death 🆚 numbers of pregnancies?
A great talk, and a very interesting new perspective!
How does this hypothesis explain the fact that the same mother in two or more different pregnancies does not develop preeclampsia or even high blood pressure in every pregnancy?
MMBVG perhaps in the same way that a person having suffered and then recovered from a cardiac event is then able to go on and live many years without said event recurring. In some cases it does recur and some cases it doesn’t?
Well spoken Basky...Good luck with more funding to continue your research work. It is outrageous data on maternal deaths. Something needs to be done globally.
Still so many years later and maternal mortality continues on. More needs to be done to strengthen health systems, strengthen the Comprehensive approach to health care and invest in the social determinants of health. It can’t all be biomedical in approach.
Very interesting. Yet I can't fully connect seizures, low platelet count and other preeclampsia related alterations merely to heart congestive failure.
Impaired placental perfusion due to maternal cardiac maladaptation can lead not only to hypertension but endothelial dysfunction - as occurs outside pregnancy (hyper.ahajournals.org/content/64/5/924). The signs you describe are manifestations of this dysfunction affecting the bone marrow, brain and kidneys differentially. Simples...
Basky Thilaganathan amazing investigations, would you mind to provide me some articles to read more of this?, thanks
A more scientific explanation of this talk is available in the Editorial
of the January issue of Ultrasound in Obstetrics and Gynecology - bit.ly/2iGZJUa
Read the book of Gail Sforza Brewer "Diet and Drugs in Pregnancy" written decades ago, after she (a pharmacist and nutritionist) and her OB/Gyn husband, noticed that affluent women who were told to restrict weight gain to 20 lbs and to restrict salt intake, had the same problems with toxemia and placenta prevue as the poorest women. They went to New Orleans, then Southern California, to teach women how to purchase and prepare foods on a low budget. In both places, the maternal mortality dropped dramatically
thank you so much.
Time to take a look at the work of Alicia Dennis, Melbourne?
Know of and also met Alicia. We are in the same boat! Thank you for sharing this TEDx talk with your contacts.
Safer not to have babies
Safer not to get out of the bed in the morning...