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Re: CTG anomaly - continued From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Sat Apr 27 15:33:42 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: garald jean louis: "swelling during menstruation" Previous message: Dean Huffman: "Parental-Notice Law Ruled Unconstitutional" At Sat, 27 Apr 2002, Gerald P. Rodriguez wrote: > >>>----- Original Message ----- >From: "Joe Cutchin" <forcep@intercom.net> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> > >> John: now that I am out of OB I can make maybe some redicuilous >statements.As far as I am >> concerned there is very little true EBM for FHR.It is probably the worst >technical >> advancement we have had thrust upon us.It has caused more harm than >good.Everyone is an >> "expert" with their own definition of a particular portocol or >abnormality..By far the >> best writing are by Dr Parer and the NIH conference he chaired.I started >out with the era >> of Hon and wish in retrospect I had never heard off EFM.As Art would add, >just my >> opinion.Joe Cutchin > >Joe, I agree with you 100%. All EFM has gotten us is a lot more gray hair >(and less of that as time goes on), higher malpractice rates, and a much >higher C/Section rate. I actually started with Caldeyro-Barcía and his >Montevideo Units and Type 1, Type 2 dips. I quit Obs. partly out of the >great frustration tying to "learn" EFM and who had the greatest credibility. >Interesting that electronic monitoring has revolutionized anesthesiology and >made it much safer for both patient and physician. By contrast, in Obs we >(they) are still floundering in a sea of ignorant frustration with a >technology whose value is yet unproven but which still wags the dog. > >Gerald P. Rodríguez, M.D., FACOG >Santa Fe -- Definitely not a redicuilous statement, it sure rings true with my experience.The problem is once some thing becomes a standard its hard to stop using it! Its just to easy to find some risk factor or indication to use EFM. Take care, John Next message: garald jean louis: "swelling during menstruation" Previous message: Dean Huffman: "Parental-Notice Law Ruled Unconstitutional"

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