Re: Chilliwack Journal Club - re Active Management of Labour

From: Patrick Rust (genie@dircon.co.uk)
Sun May 5 15:28:45 1996


On Tue, 30 Apr 1996 22:17:51 -0500 (CDT), Mark Klein wrote:

>Dear Mark et al: I thought the critical analysis by 2nd year family
>practice resident John Hamilton was well done. In point
>of fact, O"Driscoll did not study Active Management of Labour. He merely
>reported their very low cxion rates. It has been assumed that the AML is
>the responsible factor. Neglected, in my view, is the powerful effect of
>the experienced midwives who in Dublin never left the patient. O"Driscoll
>has always minimized this factor.

>From my reading of the current textbook written by O'Driscoll & Meager they
certainly emphasised the importance of close personal supervision by the midwifery staff:

Chapter 21 Role of the nurse/midwife Chapter 25 Organisation.

In : O'Driscoll K. Meager D. Active Management of Labour (Third Edition). Mosby Year Book Europe Limited, 1993. ISBN 0 7234 1910 8

--
Patrick D. Rust MB BS, MRCOG.
Registrar Obstetrics & Gynaecology,
Frimley Park Hospital,
Camberley, Surrey, United Kingdom.




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