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Created on : 13 Feb 2004
Modified on : 05 Nov 2018

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Bibliographical entry (without author) :

Has the medicalisation of childbirth gone too far? The British Medical Journal 2002;324:892-895.

Author(s) :

Johanson R, Newburn M, Macfarlane A.

Year of publication :

2002

URL(s) :

http://bmj.bmjjournals.com/cgi/content/full/324/73…
https://doi.org/10.1136/bmj.324.7342.892

Résumé (français)  :

Abstract (English)  :

- Obstetricians play an important role in preserving lives when there are complications of pregnancy or labour

- In developed countries, however, obstetrician involvement and medical interventions have become routine in normal childbirth, without evidence of effectiveness

- Factors associated with increased obstetric intervention seem to include private practice, medicolegal pressures, and not involving women fully in decision making

- Emerging evidence suggests that higher rates of normal births are linked to beliefs about birth, implementation of evidence based practice, and team working

Sumário (português)  :

Resumen (español)  :

Full text (private) :

Comments :

Argument (français) :

De plus en plus d’interventions de routine sont pratiquées sans preuve de leur efficacité, sous la pression du secteur privé, du médico-légal, sans consentement éclairé. Des taux plus élevés d’accouchement normaux seraient obtenus simplement en changeant les croyances et en implémentant la pratique de la médecine factuelle.

Argument (English):

More and more routine interventions are being performed without evidence of their effectiveness, under pressure from the private sector, the forensic, without informed consent. Higher rates of normal childbirth would be achieved simply by changing beliefs and implementing the practice of evidence-based medicine.

Argumento (português):

Intervenções cada vez mais rotineiras estão sendo realizadas sem evidências de sua eficácia, sob pressão do setor privado, o forense, sem o consentimento informado. Taxas mais altas de parto normal seriam alcançadas simplesmente mudando as crenças e implementando a prática da medicina baseada em evidências.

Argumento (español):

Keywords :

➡ c-section/caesarean ; duration of labour ; midwifery training ; history, sociology ; evidence-based medicine/midwifery ; position during labor ; psychology ; obstetric and gynecologic violence obstetric violence, obstetrical violence ; episiotomy ; active management of labor ; oxytocin ; IV ; epidural ; forceps delivery ; hormones ; monitoring ; perinatal death rates ; midwife ; deontology ; informed consent

Author of this record :

Cécile Loup — 13 Feb 2004
➡ latest update : Bernard Bel — 05 Nov 2018