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Re: ob profession (was postpartum intercourse) From: Robert J. Woolley (wooll005@gold.tc.umn.edu) Sun Jun 29 21:35:37 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Harrison Sheld: "Re: ob profession (was postpartum intercourse)" Previous message: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Maybe in reply to: David Hunter: "ob profession (was postpartum intercourse)" Next in thread: Malcolm Griffiths: "circumcision ( was ob profession (was postpartum intercourse) )" Reply: Malcolm Griffiths: "circumcision ( was ob profession (was postpartum intercourse) )" In message <970629122444_126081418@emout17.mail.aol.com> writes: > In a message dated 97-06-29 00:09:22 EDT, you write: > > << That is, > are there any which have been shown by multiple RCTs to be ineffective for > the > purposes claimed for them, which are still done more than half of the time > the > opportunity presents itself? I'd be interested in any examples you can > suggest. >> > > Circumcision > > Arthur Freeland > Warrensburg Missouri As far as I know, there are no RCTs to assess the benefits and risks of circumcision. If you look at the non-RCT evidence, it's a hard call: the benefits and risks appear roughly balanced. (Fetus and Newborn Committee, Canadian Paediatric Society. Neonatal circumcision revisited. Canadian Medical Association Journal, Volume 154(6), March 15, 1996, pp 769-780.) However, if you took the approach that the default condition is to not perfrom a procedure unless the benefits are clearly shown to outweigh the risks (which I would argue is the correct view), then you're right: we shouldn't be doing them. I prefer not to, and try to talk parents out of them on just this basis. However, since there is evidence of benefit, I'm not stubborn, and I'll yield to the parents' wishes either way. Lest somebody jump to say that this is their approach to episiotomy, be aware that I'll immediately ask whether you explain the state of the evidence for the benefits and risks of the procedure in a prenatal visit, so that you have an informed patient and an informed decision. Unless your use of the procedure is truly rare so that you can honestly say it is not anticipated, it it unethical to do an epis without this patient infromed consent. --------------------------------------------------------------------------- --------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota There are in fact two things, science and opinion; the former begets knowledge, the latter ignorance. --Hippocrates Next message: Harrison Sheld: "Re: ob profession (was postpartum intercourse)" Previous message: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Maybe in reply to: David Hunter: "ob profession (was postpartum intercourse)" Next in thread: Malcolm Griffiths: "circumcision ( was ob profession (was postpartum intercourse) )" Reply: Malcolm Griffiths: "circumcision ( was ob profession (was postpartum intercourse) )"

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