OB Interventions: Dubious or Detrimental

MAYDAY Series: Ref #5 ~ Scientific Paper: Part 2 (of 2) Fetal Monitoring: Creating a Culture of Safety With Informed Choice”

by faithgibson May 31, 2019

Part 2 — (a) Efficacy; (b) Barriers to Laboring Woman’s Informed Consent EFFICACY OF EFM In 2004, 28,014 neonates died, reflecting 0.68% of all U.S. births that year (U.S. Department of Health and Human Services [USDHHS], 2004). Chen et al. (2011) compared EFM to no EFM in labor using data from U.S. birth certificates from […]

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Episiotomies — more harmful unnecessary interventions by OBs, more hiding high rate of inappropriate interventions by hospitals

by faithgibson May 27, 2019

Re-posted from USA Today An episiotomy is a surgical cut to the vagina during childbirth. A USA TODAY analysis finds a startling number performed despite guidance from 2006. Episiotomies: painful, risky and not routinely recommended but dozens of hospitals are doing them anyway. Alison Young and John Kelly, USA TODAY Updated 12:00 p.m. PDT May […]

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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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