Economic Issue$

Mayday series: Wrap-up Part 2 (of 2) Final Words & Action Plan

by faithgibson May 31, 2019

Word count 1600 Easy-to-share Link: https://tinyurl.com/y67nkt4c Wrap up of Mayday series: Introducing a *new vocabulary* Final Word & Action Plan ** The Bigger Picture and new vocabulary for the kind of maternity care that best serves the needs of healthy childbearing women and their families and is most cost-effective Maternity care and obstetrical services are […]

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Mayday Series: Part 1 (of 2) Wrap-up & Final Words

by faithgibson May 30, 2019

Easy-to-share link ~ https://tinyurl.com/yxfx7d8u Word count 1300 Conclusion of the Mayday Series ~ Part 1 ~ Be sure to read Acton Plan in Part 2  This series began with big (and embarrassing) questions about the contemporary practice of obstetrics in America. The most central of all was simply: “Why has American obstetrics strayed so far […]

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MAYDAY Series: 4-D ~ 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

Editor’s Note: This is the very last post in this series. However it is followed by peer-reviewed studies (full text or substantial excerpts) cited in the Mayday series and essays based on the scientific literature by practicing obstetricians. Please read them as well. The disappointing choice by the obstetrical community to focus on obstetrical technology […]

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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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