AROUND BIRTH

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Research

This section contains research to help you make informed choices and perhaps also help drive policy. Also visit pages Links and News.


Royal College of Obstetricians and Gynaecologists guidelines: How evidence-based are they?

Prusova, K., Tyler A., Churcher L., Lokugamage A. U.
Journal of Obstetrics and Gynaecology, 2014; Early Online: 1-6
A much needed study by Amali Lokugamage and colleagues analysing 1,682 obstetric and gynaenecological recommendations in a total of 52 practice guidelines in lieu of the scientific evidence they are based on. They authors conclude that only 9-12% are indeed based on grade A scientific evidence and since 2007 even more likely to be based on clinical experience alone. The authors provide powerful evidence that we cannot assume recommended obstetric or gynaecological procedures are based on high quality scientific evidence. The discussion is a MUST READ.
PDF is available here


Evidence Based Medicine: a movement in crisis?
Greenhalgh T, Howick J & Maskrey N.
British Medical Journal 2014 June 13th: 348:g3725.

The authors argue that albeit the obvious positive benefits of 'evidence-based' medicine it has also had negative effects. They state for instance that vested interests by drug and medical devices industries have misappropriated the quality mark. A very important article and call for a return to ethical care as the top priority of evidence–based medicine.
bmj.com/content/348/bmj.g3725


Scientific Evidence Underlying the American College of Obstetricians and Gynecologists
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Practice Bulletins Wright, J.D., MD, Pawar, N., MD, Gonzalez, J.S.R.,MD, Lewin, S.N., MD, Burke, W.M., MD, Simpson, L.L., MD, Charles, A.S., MS, D'Alton, M.E., MD, and Herzog, T.J MD.
American College of Obstertricians and Gynecologists 2011 Sept; Vol.118, No.3
Another pertinent study where the authors conclude that only "One third of the recommendations put forth by the College in its practice bulletins are based on good and consistent scientific evidence.
PDF is available here