Category: Obstetrics & gynecology

cancerchemotherapy1

Abortion and breast cancer: The manufactroversy that won’t die

Whatever one thinks about abortion from a moral standpoint, we at SBM would argue that any discussion of the risks of abortion should be based in rigorous science. One "risk" of abortion frequently claimed by antiabortion activists is that it causes breast cancer, even if it takes science as bad as that found in a recently published epidemiological "study" on abortion and...

/ January 18, 2010

Is breech vaginal delivery safe?

Between 3-4% of babies begin labor in the breech (bottom first) position, increasing the risk of neonatal morbidity and mortality. Pre-emptive C-section has become the preferred method of delivery for breech babies, but now some are questioning this recommendation. The controversy is fueled by differing appraisals of the danger and by differing assessments of the whether any risk of neonatal death can...

/ January 14, 2010

Are the benefits of breastfeeding oversold?

As a mother, I am a passionate advocate of breastfeeding and I breastfed my four children. As a clinician, though, I need to be mindful not to counsel patients based on my personal preferences, but rather based on the scientific evidence. While breastfeeding has indisputable advantages, the medical advantages are quite small. Many current efforts to promote breastfeeding, while well meaning, overstate...

/ December 17, 2009

Midwives and the assault on scientific evidence

The new mantra of midwives and their advocates is “evidence based practice.” Lamaze, the childbirth education organization has changed the name of their blog to “Science and Sensibility” emphasizing the importance of science and promising: Lamaze education and practices are based on the best, most current medical evidence available, and can help reduce the overuse of unnecessary interventions while improving overall outcomes...

/ December 10, 2009

A critique of the leading study of American homebirth

Its authors boast that it is one of the ten most downloaded papers from the British Medical Journal (BMJ). That makes it even more unfortunate that the conclusions of the paper are directly at odds with the findings of the paper. Outcomes of planned home births with certified professional midwives: large prospective study in North America by Kenneth Johnson and Bettye Ann...

/ December 3, 2009
Water birth

What’s in the water at waterbirth?

Water birth is dangerous, unnatural, has no benefits, and unlikely, but serious risks. So of course someone is selling it.

/ November 19, 2009

“The mother is the factory”

Who said: “the mother is the factory, and by education and care she can be made more efficient in the art of motherhood”? That was written in 1942 by Grantly Dick-Read, widely considered to be the father of modern natural childbirth. Most people don’t realize that natural childbirth was invented by a man to convince middle and upper class women that childbirth...

/ November 12, 2009

What’s the right C-section rate? Higher than you think.

Editor’s Note: Dr. Mark Crislip has been kidnapped by anti-vaccinationists. Fortunately, we have sent our black Illuminati, pharma-funded, vaccine-wielding helicopters to rescue him, but unfortunately, as a result of his trauma, his usual Friday post is likely to be delayed either until this afternoon or Saturday. In any case, fortunately for us our latest addition to the SBM crew, Dr. Tuteur, was...

/ November 6, 2009

The Tragic Death Toll of Homebirth

More than 10,000 American women each year choose planned homebirth with a homebirth midwife in the mistaken belief that it is a safe choice. In fact, homebirth with a homebirth midwife is the most dangerous form of planned birth in the US. In 2003 the US standard birth certificate form was revised to include place of birth and attendant at birth. In...

/ November 5, 2009