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Should we obtain informed consent for vaginal birth?

Kavin Senapathy, writing in Self reports Giving Birth Made Me Question the Informed Consent Process During Childbirth. The issue: should we obtain informed consent for vaginal birth? After all vaginal birth is natural, not a medical procedure. I would pose the question a bit differently. Are doctors ethically required to counsel women about the risks […]

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Which is more important in healthcare: scientific studies or real world evidence?

It is often said that randomized controlled studies (RCTs) are the gold standard in healthcare. As David Shaywitz explains in a piece in Forbes Will Real World Performance Replace RCTs As Healthcare’s Most Important Standard?: The value of RCTs lies in the random, generally blinded, allocation of patients to treatment or control group, an approach […]

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Does it matter that VBAC significantly increases the risk of poor maternal and neonatal outcomes compared to repeat C-section?

A new paper published this month in the Canadian Medical Association Journal, Mode of delivery after a previous cesarean birth, and associated maternal and neonatal morbidity, shows that attempted vaginal birth after C-section (VBAC) significantly increases the risk of poor maternal and neonatal outcome. Absolute rates of severe maternal morbidity and mortality were low but […]

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ACOG was wrong about episiotomies, wrong about hormone replacement therapy and now it’s wrong about breastfeeding

I was very fortunate in my OB-GYN training. I did my internship and residency at Boston’s Beth Israel Hospital, a Harvard hospital. I prize that training, but over the past 35 years I’ve discovered that some of things I was taught were wrong. Three of the principles of obstetrics and gynecology that were accepted as […]

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Why do good mothers feel so bad?

You’re a good mother; your children show you that you are. Your baby greets you with a thousand watt smile when you pick her up from her nap. She loves to be in your arms when she feels happy and she needs to be in your arms when she feels ill. Your toddler can’t get […]

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Baby decapitated in hideous case of obstetric malpractice

Warning! This story is not for the faint of heart. According to a story in The Independent: A doctor caused an unborn baby to be accidentally decapitated inside her mother’s womb while performing a delivery, a medical tribunal has heard… The obstetrician at Ninewells Hospital in Dundee is accused of wrongly going ahead with a […]

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Breastopia vs. the real world

It’s the ur-myth of lactivism, the belief that we came from Breastopia and we should return to Breastopia. There’s just one problem: Breastopia never existed and frantic efforts to “reclaim” it are harming babies and mothers. To understand why it helps to compare Breastopia to the natural world. That’s why I created the handy chart […]

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Claiming breastfeeding has major benefits is politically correct, but sadly not true

In a world of vicious clashes over ideas and even over facts themselves, there is one thing on which everyone can agree. Thought leaders on the left and the right, among every possible ethnic and religious group, among scientists and lay people are united in their insistence that breastfeeding has major benefits for babies. Too […]

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Oops, C-section does NOT impact the neonatal gut microbiome much at all!

The more research we do, the LESS support there is for the claim that C-sections impact the neonatal microbiome in ways that are ultimately harmful to health. Research on the impact of C-section on the neonatal microbiome has been plagued with major problems, the most important of which is the naturalistic fallacy: the belief that […]

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La Leche League’s ugly response to women struggling with postpartum depression: a badge!

Have you no shame, La Leche League? Once again you cruelly posted this “badge.” I breastfed my baby through postpartum depression! Never mind that women are literally killing themselves and their babies because of postpartum depression, and breastfeeding has been implicated in the suffering of these women: Florence Leung killed herself in despair over breastfeeding […]

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