Re: ob profession (was postpartum intercourse)

From: Harrison Sheld (hsheld@accessnv.com)
Sun Jun 29 22:21:18 1997


I fear your evidence will be a recitation of RCTs. And so we shall on bended knee fall under the spell of the RCT. But let us go back one step. I agreed that there may be (emphasis) may be more harm than good from a medical procedure. What is harm and what is good? These remain undefined. It was your statement, not mine. I am saying that an RCT is not above critique. But my feeling from your posts on this list is that the Ace you always play is the RCT. Once you play your Ace, the discussion is over. Well, I don't think so. I must know the study design etc before I accept whatever harm you allege from whatever benefit I state. I'm not getting into that with you. The original allegation was that obstetricians are incompetent fops because they (at least 51% according to your citation) are doing episiotomies. What proof do you have of that. Where is your RCT that defines incompetency and how doing an episiotomy supports that allegation? Not forthcoming; instead you wish to get into a discussion of the pros and cons of episiotmy which is not the essence of my discussion.




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