Re: Caffeine-miscarriage link study
From: Joe (forcep@intercom.net)
Sat Jan 26 21:07:36 2008
Excellent question! Also CNM doesn't require all that training. Joe C
Joanne Bulley, MD wrote:
> Why does anyone in the US continue to do Ob? We can leave it to midwives
> - MFM and general surgeons ....
>
> What a MESS!
>
> Joanne
> (don't miss it with all the BULL that has c=gone onm since I left it in
> 1998)
>
> At Sat, 26 Jan 2008, Gordon Goldman wrote:
>
>>David,
>>
>>I agree with you, except I think this will serve another purpose;
>>fodder for the litigious at heart.
>>
>>The coffee vendors (Seattle, Starbuck's and the like) will be the
>>target of litigation for not having adequately warned their female
>>clientele of the 'deadly' consequences of caffeine ingestion.
>>
>>And of course, the physicians will be targeted also, unless it is
>>documented in the record that you specifically warned against it,
>>despite the paucity of hard fact. In Missouri, we have to have the
>>patient sign a statement at the onset of prenatal care, warning them
>>of alcohol, tobacco and drug use. Caffeine is next.
>>
>>--
>>Gordon M. Goldman, M.D., FACOG
>>Private Practice, St. Louis, Mo.
>>
>>On Jan 26, 2008, at 4:33 PM, David Priver wrote:
>>
>>>Study linking caffeine, miscarriages flawed
>>>
>>>Regarding “Study reports link between caffeine use, miscarriages”
>>>(News,
>>>Jan. 21):
>>>
>>>In my view, as an OB/GYN, this is a dreadfully flawed study that will
>>>serve no purpose other to further frighten pregnant women about the
>>>growing volume of supposedly dangerous substances that they must
>>>avoid.
>>>
>>>First of all, it is hopelessly unreliable to question women, often
>>>months following a miscarriage, about what they did or did not consume
>>>while pregnant. Secondly, women who have the most “morning sickness”
>>>and, therefore, are the least likely to be consuming coffee (or nearly
>>>anything else), almost never miscarry, presumably as a result of a
>>>very
>>>high hormone level. This reflects an association, but clearly not a
>>>cause and effect relationship. Finally, it is well-established that
>>>miscarriage is, with very few exceptions, caused by pregnancies
>>>associated with chromosomal abnormalities, something that cannot
>>>possibly be affected by he consumption of caffeine.
>>>
>>>As the March of Dimes spokeswoman stated while explaining why that
>>>organization will now proceed to jump on this fear-inducing bandwagon,
>>>“Women do need good guidance.” Indeed they do, but this study did not
>>>provide it.
>>>
>>>DAVID PRIVER
>>>San Diego
>>>
>
> --
> Joanne Bulley, MD, FACOG
> Solo gyn
> Keene, NH USA
>
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