Re: fatal shoulder dystocia

From: Efrain Ramirez MD (eramirez@icepr.com)
Thu Dec 24 04:49:51 1998


I do not have to remind you that shoulder dystocia is not always associated with macrosomia.

At Thu, 24 Dec 1998, Peter Wein wrote: >
>>How is it a different thing? If you fail to demonstrate an advantage for
>>an intervention, then for what purpose can you justify intervention?
>>
>It is completely different to say "These 2 treatments are equivalent" than
>to say "I cannot show that one is superior". To prove the first, your null
>hypothesis would be that one is different to the other, whereas to prove
>the second, your null hypothesis is that they are the same. To prove
>equivalence requires a far more rigorous study than to prove difference - see:
>
>Jones B, Jarvis A, Lewis JA, Ebbutt AF. Trials to assess equivalence: the
>importance of rigorous methods. BMJ 1996: 313: 36-39.
>
>--
>Peter Wein
>

--
Efrain Ramirez MD FACOG




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