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AMA-controled Relative-Value-Scale Update Committee (RUC) authorized by US govt to fix MD fees price paid by Medicare/Medicaid

by faithgibson August 15, 2013

Medscape Business of Medicine © 2013  WebMD, LLC 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… [The AMA] is incredibly political, and it’s […]

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Preventable Obstetrical Interventions: How many caesarean sections can be prevented in Canada?

by faithgibson August 5, 2013

J Obstet Gynaecol Can. 2013 May;35(5):434-43. Rossignol M, Moutquin JM, Boughrassa F, Bédard MJ, Chaillet N, Charest C, Ciofani L, Dumas-Pilon M, Gagné GP, Gagnon A, Gagnon R, Senikas V. Department of Epidemiology, Biostatistics & Occupational Health, McGill University, Montreal QC. Abstract (+ editor’s comments @ bottom) Public health authorities have been alarmed by the progressive rise in rates of Caesarean section in Canada, approaching one birth in three in […]

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Laparoscopic vaginal delivery: Report of a case, literature review & discussion (tongue deeply in cheek!)

by faithgibson July 31, 2013

Obstet Gynecol 2000;95:163–5 Mack Barham, MD From Monroe, Louisiana. 163 VOL. 95, NO. 1, JANUARY 2000 0029-7844/00/$20.00 PII S0029-7844(99)00512-8 I review the literature on laparoscopically assisted vaginal delivery, present and discuss a case, and describe the technique. Laparoscopically assisted vaginal delivery will emerge as a triumphant obstetric innovation that will radically transform operative obstetrics in the 21st century. In recent […]

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Fetal monitoring in labour: the challenge of balancing the benefits with harms

by faithgibson July 25, 2013

http://evidentlycochrane.wordpress.com/2013/07/03/fetal-monitoring-in-labour-the-challenge-of-balancing-the-benefits-with-harms/ “….. continuous CTG during labour is associated with a reduction in the incidence of neonatal seizures, has no obvious impact on cerebral palsy or perinatal mortality but is associated with an increase in the incidence of caesarean section and instrumental vaginal births. The adverse affects of operative births are well described. The possible long-term effects of […]

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Cesarean Section Increases Risk of Endometriosis according to very large Swedish study

by faithgibson July 16, 2013

OBGYN.net. Vol. No. June 28, 2013 Primary Points: – General pelvic endometriosis occurs more often in women who had a cesarean section than in women who gave birth vaginally for their first delivery, although the overall risk remains very low. http://hcp.obgyn.net/pregnancy-and-birth/content/article/1760982/2148858 Compared with vaginal deliveries, cesarean sections may be associated with an increased risk of endometriosis, according to […]

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