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View the Evidence: Problematic Actions

Pubmed Data : Zhonghua Fu Chan Ke Za Zhi. 2007 Dec;42(12):818-21. PMID: 18476514
Study Type : Meta Analysis

Pubmed Data : Am J Obstet Gynecol. 2009 Sep;201(3):273.e1-9. PMID: 19733277
Study Type : Meta Analysis

Pubmed Data : Zhonghua Fu Chan Ke Za Zhi. 2008 Jun;43(6):401-4. PMID: 19035130
Study Type : Meta Analysis

Pubmed Data : Aust N Z J Obstet Gynaecol. 2012 Mar 5. Epub 2012 Mar 5. PMID: 22384940
Study Type : Human Study



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Written by Judy Cohain, CNM
It's hard to compete with 20 billion years of evolutionary selection, but the current medical management of the birth of the fetus and the placenta attempts to do just that, albeit rather unsuccessfully. For eons, all animals including humans passed on genes and habits that ensured delivering a live healthy newborn without bleeding excessively or dying of postpartum hemorrhage at birth.
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45% of births in the US are now induced, but evidence supporting this intervention is severely lacking. Case controlled studies show no benefit to inducing for postdates. Routinely inducing for postdates is based on 3 uncontrolled, retrospective studies showing 1/1000 less stillbirths while ignoring possible increases in brain damage to newborns as a result of induction.

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