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A Randomized Trial of Planned Cesarean vs. Vaginal Delivery for Twin Pregnancy

by faithgibson December 2, 2013

Funded by the Canadian Institutes of Health Research; ClinicalTrials.gov published in the NEJM print version: http://www.nejm.org/doi/full/10.1056/NEJMoa1214939?viewType=Print&viewClass=Print pdf version: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1214939 Background Question: Twin birth is associated with a higher risk of adverse perinatal outcomes than singleton birth. It is unclear whether planned cesarean section results in a lower risk of adverse outcomes than planned vaginal delivery in twin pregnancy…. Conclusion: …. between 32 weeks […]

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AMA-controlled “Relative Value Controlled Update Committee — bad medicine, bad for Americans

by faithgibson November 10, 2013

The RUC Is Bad Medicine; It Has to Go Brian Klepper, PhD Aug 12, 2013 RUC Is a Deep Root of Our Healthcare Crisis “One of the biggest mistakes we made…is that we took the RUC…back in 1992 and gave it to the AMA…It’s incredibly political, and it’s just human nature…the specialists that spend more money and […]

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Health region should reconsider home birth decision, group says

by faithgibson October 21, 2013

BY JEREMY WARREN, THE STARPHOENIX SEPTEMBER 27, 2013 Dionne Miazdyck-Shield wants to give birth at home but a health region policy is saying no. Photograph by: Richard Marjan , The StarPhoenix A local group is lobbying the Saskatoon Health Region to allow midwives to attend home births with women who’ve previously had a caesarean section. In […]

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Use of Pitocin to induce or speed-up labor increases risk of potentially fatal PPH

by faithgibson October 12, 2013

Labor-Augmenting Drug May Contribute to Reduced Effect in Controlling Postpartum Bleeding Aug. 21, 2013 — With the number of maternal deaths on the rise in the United States, researchers found that a drug frequently used to augment or induce labor may contribute to postpartum bleeding, a study in the September issue of Anesthesiology notes.   The drug oxytocin […]

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My Letter to the Editor ~ re: Pang Study 2002

by faithgibson September 27, 2013

This is a copy of my letter to the Editor  of AJOG (the Green Journal):                                      Faith Gibson, LM, CPM Executive Director, American College of Domiciliary Midwives 3889 Middlefield Road, Palo Alto, CA 94303 info@collegeofmidwives.org September 11, 2002 As a former L&D nurse and practicing community midwife I wish to comment on the study entitled “Outcomes […]

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