Economic Issue$

Word count 1600 Part 2 of Mayday series:  “Final Word” The Bigger Picture and a new vocabulary for the kind of maternity care that serves the needs of healthy childbearing women and their families I am making a functional distinction in vocabulary between a system of maternity care for healthy women with normal pregnancies and […]

Easy-to-share link ~ Word count 2800 Part 1 ~ Conclusion of the Mayday Series: This series began with questions about the contemporary practice of obstetrics in America.  The most central of all was simply: “Why has American obstetrics strayed so far from its noble foundations? There are many examples, but the specific issue addressed in […]

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

by faithgibson May 26, 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 […]

Read the full article →

MAYDAY Series ~ Routine use of EFM as failed public health strategy — Trying to build a better mousetrap instead of building a better foundation

by faithgibson May 14, 2019

Trying to build a better mousetrap instead of building a better foundation During the 1970s, EFM became the de facto standard for obstetrical care in the US and without any scientific foundation, completely replace simple regular auscultation with the near universal use of continuous electronic fetal monitoring. As noted in the many studies quoted above, the universal use […]

Read the full article →

Mayday Series: Invention of electronic automated Fetal Monitors and Displacement of Auscultation

by faithgibson May 11, 2019

Part 2 of previous day’s post on the History of Fetal Monitoring as a Verb: The invention of electronic automated fetal monitors and its displacement of 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 […]

Read the full article →