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: Ref #6 ~ New Engl Journal Med : Uncertain Value of Electronic Fetal Monitoring in Predicting Cerebral Palsy

by faithgibson May 26, 2019

HTTP://WWW.NEJM.ORG/DOI/FULL/10.1056/NEJM199603073341001#T=ARTICLE Uncertain Value of Electronic Fetal Monitoring in Predicting Cerebral Palsy Karin B. Nelson, M.D., James M. Dambrosia, Ph.D., Tricia Y. Ting, B.S., and Judith K. Grether, Ph.D. N Engl J Med 1996; 334:613-619 DOI: 10.1056/NEJM199603073341001 March 7, 1996 .  word count 3470 This study was designed as an investigation of the use of fetal […]

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

by faithgibson May 26, 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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MAYDAY Series: Ref #4 ~ Scientific Paper: Part 1 (of 2) Fetal Monitoring: Creating a Culture of Safety With Informed Choice”

by faithgibson May 26, 2019

  Fetal Monitoring: Creating a Culture of Safety With Informed Choice J Perinat Educ. 2013 Summer; 22(3): 156–165. doi: 10.1891/1058-1243.22.3.156 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010242/ PMCID: PMC4010242 PMID: 24868127 Lisa Heelan, MSN, FNP-BC* Abstract The dominant culture in labor and birth is the medical model, not the midwifery model of woman-centered care. Consensus among professional and governmental groups is that, based on […]

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MAYDAY Series: Ref #3 ~ Data Bite on the Frequent Disagreements btw professionals on Interpretation of EFM strips

by faithgibson May 26, 2019

Synopsis: Disagreement btw obstetricians on EFM data whether an emergent C-section is needed and studies in which obstetricians disagreed with their original conclusion when provided with the very same monitor strip 6 months later. The other ‘elephant’ in the room when interpreting c-EFM data is the incredible lack of agreement between obstetricians over the data being streamed […]

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