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Re: Hanna's RCT: (was post-term:Jardosi)From: Luis Sanchez-Ramos, M.D. (sanchez@umc8.umc.ufl.edu)Wed Dec 30 06:24:58 1998
At Tue, 29 Dec 1998, Robert J. Woolley wrote: >>Correction: insert "combined with the uncontrolled [in the scientific sense]practices as to route of delivery of the attending obstetricians<< That is the way obstetrics is practiced in real life.
>>IOW, the authors freely admit that the physicians may simply have had a lower threshold for bailing out into a section The PRIMARY objective was to assess the impact of these two modes of practice on perinatal morbidity and mortality. The study was not designed to assess reasons for intervention. Nonetheless, I would not classifiy this study as "flawed", it has biases just like most studies do. The reason (s) for the increased cesarean rate in the monitoring group is (are) not clear. Perinatal morbidity and mortality (The primary objective of the study) was similar for both study groups).
-- Luis Sanchez-Ramos, MD
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