Why might midwives not support women’s choices?
The problem with guidelines is not that they exist nor that they play a role in structuring good practice. The problem is when guidelines over-reach their purpose.
Tag Archive for ‘guidelines’
Who makes decisions about fetal heart rate monitoring and how does it happen?
Myself and my co-authors have a new paper, freshly published with Women and Birth (available here). One of the questions I asked while generating data from my doctoral research was – who made the decision about the approach to fetal heart rate monitoring that any individual woman would use during her labour? At first glance, the answer seemed to be that no one was actively making decisions. I didn’t interview […]
It seems we can’t agree on this one….
Whose fault is it when we can’t agree on the CTG? #EFM #CTG #CTGInterpretation #CentralFetalMonitoring
Is that what it really says? When professional guidelines get creative with truth.
We expect that evidence based guidelines are written by people who can critically review and use evidence. Sometimes that’s not what happens though. Here’s an example….
What is a medical indication?
Medical indications exist somewhere on a spectrum between being written on tablets of stone, handed down to new doctors by a supreme being on a mountain top – to being completely made up on a whim. What happens when they are misused?
Going backwards with fetal monitoring guidelines
Fetal monitoring guidelines should be evidence-based and assessed to ensure they are fit for purpose.
Comparing intrapartum CTG monitoring guidelines
Which fetal monitoring guideline is the best one to use?
Physiological CTG interpretation – I have questions
The history of maternity care is littered with stories of half-baked science that becomes embedded in practice and only too late is discovered to be ineffective and challenging to step away from.
Midwives must, obstetricians may: Learning new ways to read guidelines
When you put people back into clinical guidelines you can see previously invisible assumptions.
Birth Small Talk 