Cesarean Politics

Part 1B ~ Failure of c-EFM to prevent cerebral palsy or protect OBs from lawsuits ~1B

by faithgibson August 3, 2019

~ 1B ~ word count 2,100 In the first place ‘Do No Harm’ Conforming opinion to facts — acknowledged scientific evidence — within an ethical framework  In his autobiography, The Story of My Life, Dr. Marion Sims wrote about the advantages of working on people that were essentially his property (i.e. women slaves): “There was […]

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MAYDAY Series: Ref 8 ~ Science-based Editorial “Why Are We Using Electronic Fetal Monitoring?”

by faithgibson May 31, 2019

American Family Physician Why Are We Using Electronic Fetal Monitoring? PRINT COMMENTS Related Article CLARISSA C. KRIPKE, M.D., Georgetown University Medical Center, Washington, D.C. Am Fam Physician May 1999 1;59(9):2416-2422. https://www.aafp.org/afp/1999/0501/p2416.html In the 1960s and 1970s, continuous electronic fetal monitoring (EFM) was introduced with the idea that it would help clinicians diagnose fetal hypoxia in […]

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MAYDAY Series: Ref #6 ~ New Engl Journal Med : Uncertain Value of Electronic Fetal Monitoring in Predicting Cerebral Palsy

by faithgibson May 31, 2019

HTTP://WWW.NEJM.ORG/DOI/FULL/10.1056/NEJM199603073341001#T=ARTICLE Uncertain Value of Electronic Fetal Monitoring in Predicting Cerebral Palsy Karin B. Nelson, M.D., James M. Dambrosia, Ph.D., Tricia Y. Ting, B.S., and Judith K. Grether, Ph.D. N Engl J Med 1996; 334:613-619 DOI: 10.1056/NEJM199603073341001 March 7, 1996 .  word count 3470 This study was designed as an investigation of the use of fetal […]

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MAYDAY Series: Ref #3 ~ The Frequent Disagreements btw professionals on Interpretation of EFM strips

by faithgibson May 31, 2019

Synopsis: Disagreement between obstetricians on EFM data — whether an emergent C-section is needed, and studies in which obstetricians disagreed with their original conclusion when provided with the very same monitor strip 6 months later. The other ‘elephant’ in the room when interpreting c-EFM data is the incredible lack of agreement between obstetricians over the data being […]

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MAYDAY Series: Ref #2 ~ A Quick History of Fetal Monitoring as a Verb: Auscultation ~ and names of physician-inventors

by faithgibson May 31, 2019

A quick history of fetal monitoring: Auscultation ~ verbs, nouns, and names of physician-inventors The first person to report hearing the sound of an unborn baby’s heartbeat was a 17th century physician by the name of Dr. Marsac. A contemporary of his, a Dr. Killian, was the first to ponder the possibility that the rate and rhythm […]

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