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Re: Episiotomy question From: art fougner, md (evsono@pipeline.com) Mon Feb 18 08:23:27 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Placenta Accreta" Previous message: westsidebirthservice@juno.com: "Re: Episiotomy question" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" The problem with "evidence" is that some patients don't read the latest metanalysis. It's clinical judgement which is necessary to handle those pesky "statistical outliers." Art At Mon, 18 Feb 2008, 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 > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: art fougner, md: "Re: Placenta Accreta" Previous message: westsidebirthservice@juno.com: "Re: Episiotomy question" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question"

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