Re: Episiotomy question

From: westsidebirthservice@juno.com ("westsidebirthservice@juno.com")
Mon Feb 18 08:15:01 2008


No matter what, with a shoulder dystocia it's the same, I think, for many of us--as a colleague of mine used to say--"with a shoulder dystocia, only the washerwoman knew how I felt about it!" :) Louana

-- Joe Cutchin <forcep@intercom.net> wrote: Wait until you have a posterior shoulder stuck with resultant Erb's in that shoulder and try to figure that out. So much for evidence! Joe C

Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >>I don't know why you are telling me that - it is obvious that evidence based
>>medicine is preferable. In the absence of evidence, you can only go by
>>people's experience. There are so many variables when it comes to shoulder
>>dystocia. Every case is different. I am not sure what you are trying to get at.
>>
>>Allan
>
>
> Allan that's the smartest statement I have read in this thread, there
> will never be a randomized controll trial and the best measures to take
> for shoulder dystocia, so el it will always be eminence based whether
> the pusher of the evedince based jargon ever wish to acknowloge it.
>
> --
> Take care, John
>
>
>

No matter what, with a shoulder dystocia it's the same, I think, for many of us--as a colleague of mine used to say--"with a shoulder dystocia, only the washerwoman knew how I felt about it!"  :)

Louana

-- Joe Cutchin <forcep@intercom.net> wrote:
Wait until you have a posterior shoulder stuck with resultant Erb's in
that shoulder and try to figure that out. So much for evidence! Joe C

Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote:
>>I don't know why you are telling me that - it is obvious that evidence  based
>>medicine is preferable. In the absence of evidence, you can only go  by
>>people's experience.  There are so many variables when it comes to  shoulder
>>dystocia.  Every case is different.  I am not sure what you  are trying to get at.
>>
>>Allan
>
>
> Allan that's the smartest statement I have read in this thread, there
> will never be a randomized controll trial and the best measures to take
> for shoulder dystocia, so el it will always be eminence based whether
> the pusher of the evedince based jargon ever wish to acknowloge it.
>
> --
>                      Take care, John
>
>
>





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