Electronic Fetal Monitoring

Mayday Series: 4-C ~ Development of automated EFM replaces Auscultation 

by faithgibson May 11, 2019

This continues the history of fetal monitoring as a Verb: Development of automated electronic fetal monitors replaces Auscultation With the clarity of hindsight, we now know that just recording the one-minute fetal baseline rate was not sufficient to identify subtle indicators of fetal distress. In the decades before and after the ideas expressed in Dr. DeLee’s 1924 […]

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Mayday! 4-B ~ EFM:The Glue that keeps Hospital Corporations & Obstetrical profession joined at the hip despite the technology’s lack of efficacy & assoc. increase in C-sections

by faithgibson May 9, 2019

Routine EFM, Hospitals economics & the Nancy Reagan “Just Say No” policy of just saying no changing a Standard of Care that is harmful to healthy women with low-risk pregnancies The professional journal publications quoted in this series of posts and many other peer-reviewed articles clearly convey the obvious: The routine use of continuous EFM […]

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Mayday! Part 4A ~ Am obstetrics in the 21st century: conundrums, ethical dilemmas, irrational dichotomies & skyrocketing C-section rates

by faithgibson May 7, 2019

Tiny URL ~  https://tinyurl.com/y48tcu6g But first, a brief recap of part 3: As described in great detail in Chapter 3, in the centuries before modern obstetrics became available, childbirth in America was a grim and depressing story. For women in general, but particularly for the very young, the working class poor, minorities and immigrant women, […]

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Mayday Series: 2B ~ Honoring the lives of 19th Century Medical Heroes Semmelweis, Gordon, White, Holmes, Lister & Koch

by faithgibson May 4, 2019

28-minute read Chapter 2-B: A longer, but more trip in the Way-Back Machine If you started reading the Mayday series, you already know that is devoted to fixing a very specific problem — the inappropriate and potentially dangerou use of electronic fetal monitor on healthy laboring women with normal or “low-risk” pregnancies. Chapter 1 described […]

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Mayday! Mayday! 2A ~ How & why did American obstetrics stray so far from its noble foundations?

by faithgibson May 3, 2019

Easy link for sharing ~https://tinyurl.com/y5gsetf6 Section 2A (of 2) ~ 1940 How did American obstetrics stray so far from its noble foundations? The historic purpose of obstetrical medicine was to safeguard the life and wellbeing of laboring women under their care and relative to all circumstances of pregnancy and childbirth, both normal and complicated. Unfortunately, the […]

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