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Re: Kick Counts - Stillborn RateFrom: Don Miller (drmiller@enatal.com)Sat Dec 17 10:00:57 2005
At Sat, 17 Dec 2005, Richard Chudacoff wrote: > >I do kick counts on EVERY patient starting at 28 weeks. EVERY patient. I >have not had a pregnancy loss after 28 weeks since 1990. That's interesting, but anecdotal and NOT evidence-based medicine (and I'm sure you know that). In 2000, there were about 13,500 stillbirths after 28 weeks in the U.S. compared to about 4 million live births that year which means that a stillbirth might be expected every 300 live births. I guess it depends on your yearly obstetric volume over those 15 years whether this is just a lucky statistical quirk, or whether your interventions worked effectively and whether you've found a discriminator that identified the need for further intervention from all those hundreds of false positives that I experienced in practice. Have you considered that your smile was what actually prevented those stillbirths? There's just as much evidence for that ;)
-- Donald W. Miller, Jr., MD, FACOG eNATAL, LLC http://www.eNATAL.com
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