A Lancet commentary trying to explain away the findings of a trial of computerized interpretation of fetal monitoring tracings popped up in CBU’s Google alerts, but we get ahead of ourselves. Let’s start with a look at the trial. The trialists hypothesized that: “a...
ACOG Endorses Optimal Care—Sort Of
Abstract: Obstetrician-gynecologists . . . can help women meet their goals for labor and birth by using techniques that are associated with minimal interventions and high rates of patient satisfaction. Many common obstetric practices are of limited or uncertain...
Clinical Guidelines Endorse Physiologic Care in Labor
The Lancet has devoted an issue to maternal health that includes a systematic review of maternity care practice guidelines entitled: “Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide.” It joins a...
Continuous Fetal Monitoring (Cardiotocography) Strikes Out Again
A review due out at the end of the month reinforces that continuous fetal monitoring could have little effect on reducing incidence of cerebral palsy because the causes are almost always related to antenatal events, not inadequate oxygen in labor. The review's authors...