CSICOP/Pensar: Episiotomies 'ineffective or harmful'
PENSAR Conference: CSICOP ) has been silent about the
bizarre MD religious birth behaviors/dogmas discussed below. PREGNANT WOMEN: OBs are routinely closing birth canals up to 30% and routinely keeping birth canals closed when babies get stuck. OBs are routinely CUTTING VAGINAS - "PERFORMING" EPISIOTOMIES - with birth canals closed the "extra" up to 30%. LADIES: It's easy to allow your birth canal to OPEN the "extra" up to 30%. See THE SOLUTION at the very end of this post. See also: Women can sue: UCLA OBs slicing vaginas illegally: It's sexual assault http://health.groups.yahoo.com/group...t/message/3404 ROUTINE EPISIOTOMIES "INEFFECTIVE OR HARMFUL" Fernando Althabe, MD et al. write: "A significant proportion of the health care administered to women in Latin American maternity hospitals during labor and delivery has been demonstrated to be ineffective or harmful...[Good example:]...The routine use of episiotomies..." --Fernando Althabe, MD et al.^^^ BMC Womens Health. 2005 Apr 11;5(1):4 [Epub ahead of print] PubMed abstract ^^^Althabe F, Buekens P, Bergel E, Belizan JM, Kropp N, Wright L, Goco N, Moss N. OPEN LETTER (archived for global access at http://groups.google.com) Fernando Althabe, MD Latin American Center for Perinatology Pan American Health Organization WHO Hospital de Clínicas s/n Casilla de Correos 627 11000 Montevideo, Uruguay TE +5982 487-2929 ext 37 FAX +5982 487-2593 Fernando, In order to study possible changes in birth attendant behavior, you write of "opinion leaders" developing and implementing evidence-based guidelines then gathering "birth attendants' opinions" as a secondary outcome measure. http://www.clinicaltrials.gov/ct/show/NCT00070720 Why not reverse things? Why not BEGIN by asking birth attendants their opinions? 1. You could ask birth attendants their opinions about the fact that birth attendants/MD-obstetricians are routinely closing birth canals up to 30% then slicing vaginas (routine episiotomy) - surgically/fraudulently inferring that everything possible is being done to open the birth canal the "extra" up to 30%. 2. You could ask birth attendants/MD-obstetricians their opinions about their practice of slicing ABDOMENS en masse (c-section) - surgically/fraudulently inferring that everything possible has been done to open birth canals - even as they keep birth canals closed the "extra" up to 30%. 3. Finally, you could ask birth attendants/MD-obstetricians their opinions about their bizarre practice of keeping birth canals closed the "extra" up to 30% when babies get stuck as they pull with hands, forceps and vacuums - sometimes pulling so hard they rip spinal nerves out of tiny spinal cords. Fernando, please consider reversing things: BEGIN by asking birth attendants their opinions - THEN have "opinion leaders" develop and implement evidence-based guidelines. Just a thought. Sincerely, Todd Dr. Gastaldo PS1 FORCEPS and VACUUMS Fernando, I found your commentary on forceps and vacuum extractions in the WHO Reproductive Health Library: "Compared to vacuum extraction, the use of forceps resulted in greater success in achieving an instrument-aided vaginal delivery." --Fernando Althabe, MD. Vacuum extraction versus forceps for assisted vaginal delivery: RHL commentary (last revised: 14 November 2002). The WHO Reproductive Health Library, No 7, Update Software Ltd, Oxford, 2004. www.rhlibrary.com http://www.rhlibrary.com/Commentarie..._RHL000052.htm DON'T FORGET, FERNANDO: Whether forceps or vacuums are used, MD-obstetricians are KEEPING birth canals closed the "extra" up to 30% as they pull. And sometimes they pull so hard they rip spinal nerves out of tiny spinal cords. PS2 UNNECESSARY CESAREANS Fernando, you studied "Mandatory second opinion to reduce rates of unnecessary caesarean sections in Latin America..." Althabe et al.^^^ Lancet. 2004 Jun 12;363(9425):1934-40. PubMed abstract ^^^Althabe F, Belizan JM, Villar J, Alexander S, Bergel E, Ramos S, Romero M, Donner A, Lindmark G, Langer A, Farnot U, Cecatti JG, Carroli G, Kestler E; Latin American Caesarean Section Study Group. You wrote: "In hospitals applying this policy of second opinion, 22 intrapartum caesarean sections could be prevented per 1000 deliveries, without affecting maternal or perinatal morbidity, and without affecting mothers' satisfaction with the care process." Mandatory second opinions are nice - but what about mandatory FIRST opinions - on bizarre birth practices? Before births, find out birth attendant/MD-obstetrician opinions about their bizarre practice of CAUSINIG cephalopelvic disproportion and failure to progress then performing cesarean sections BEcause of cephalopelvic disproportion and failure to progress. Fernando, since you are affiliated with PAHO and WHO, could you enlist WHO in a campaign to stop MD-obstetricians WORLDWIDE from routinely closing birth canals the "extra" up to 30%? MASSIVE BABY BLOOD ROBBERY You might also encourage WHO to campaign to stop MD-obstetricians from temporarily asphyxiating babies and robbing them of up to 50% of their blood volume. This happens to EVERY CESAREAN BABY, according to retired obstetrician George Malcolm Morley, MB ChB FACOG who writes: "ACOG's routine treatment (B138) of these depressed neonates is immediate cord clamping to obtain cord blood pH studies. The child's only functioning source of oxygen - the placenta - is amputated together with 30% to 50+% of its natural blood volume. Total asphyxia is imposed until the lungs function, and the depressed (asphyxiated, hypovolemic) child starts its extra-uterine life in hypovolemic shock... B138 was first published in 1993. Every cesarean section baby, every depressed child, every premie, and every child born with a neonatal team in the delivery room has its cord clamped immediately to facilitate the panicked rush to the resuscitation table. The current epidemic of immediate cord clamping coincides with an epidemic of autism...For the trial lawyers, it is essential that the 'true genesis' of cerebral palsy remains unknown, because that 'true genesis' (B.138) is a standard of medico-legal care..." http://www.cordclamping.com/ac***og-cp.htm Fernando, I almost forgot... In your Lancet article (cited above), you mentioned "mothers' satisfaction with the care process"... Women shouldn't have to ASK for the "extra" up to 30% for their babies at the pelvic outlet. Nor should women have to ask for the "extra" up to 50% of blood volume for their babies. Sadly, most women don't even KNOW to ask - in part because MD-obstetricians have not been asking women for their opinions. That is, MD-obstetricians have not been obtaining informed consent before closing birth canals the "extra" up to 30% or before robbing babies of up to 50% of their blood volume Obviously then, Fernando, MD-obstetricians are practicing RELIGION/DOGMA - not science... Prominent British obstetrician Richard J. Lilford noted in 1989 that obstetrics "amounts to uncontrolled experimentation." [Lilford RJ. State of the obstetric art. The Lancet (Nov18)1989:1205-1207. Reviewing Chalmers I, Enkin M and Keirse MJNC (eds.). Effective Care in Pregnancy and Childbirth Oxford: Oxford University Press 1989 Pp 1516 (2 vols) ISBN 0-192615580] Maybe the North/South American medical religion's bizarre birth dogma can be take up at the PENSAR Conference... THE FIRST IBERO-AMERICAN CONFERENCE ON CRITICAL THINKING: THE SOCIAL EFFECTS OF DOGMATISM AND DECEPTION Science and Religion . Pseudoscience . Politics, Economy, and Mass Media Buenos Aires, Argentina -- September 17 and 18 Lima, Perú -- September 24 and 25 I'll cc: ; PS3 FERNANDO: COULD OBs BE CAUSING STROKES IN BABIES? I recently wrote to Janet Lee, MS et al. at UCSF... STROKES IN BABIES --- CEREBRAL PALSY "[The rate of p]erinatal arterial ischemic stroke (PAS)...a common cause of hemiplegic cerebral palsy...increased dramatically when multiple risk factors were present." --Janet Lee, MS et al.^^^ JAMA. 2005 Feb 9;293(6):723-9. PubMed abstract http://jama.ama-assn.org/cgi/content/abstract/293/6/723 ^^^Janet Lee, MS; Lisa A. Croen, PhD; Kendall H. Backstrand, BA; Cathleen K. Yoshida, MS; Louis H. Henning, BA; Camilla Lindan, MD; Donna M. Ferriero, MD; Heather J. Fullerton, MD; A. J. Barkovich, MD; Yvonne W. Wu, MD, MPH OPEN LETTER (archived for global access at http://groups.google.com) Janet Lee, MS et al. via: Lisa A. Croen, PhD Division of Research Kaiser Foundation Research Institute Kaiser Permanente, Oakland, Calif. 94612, USA. Yvonne W. Wu, MD, MPH Department of Neurology University of California, San Francisco 94143-0136, USA Janet Lee, MS et al., I recently reported to UCLA Police Chief Karl T. Ross that UCLA MD-obstetricians may be causing stroke in some infants because they routinely close birth canals up to 30% and keep birth canals closed the "extra" up to 30% when babies get stuck. See Strokes in babies (also: Chiro with headache and slurred speech) http://health.groups.yahoo.com/group...t/message/3429 I am interested in your professional opinions. Could the fact that MD-obstetricians routinely close birth canals up to 30% and keep birth canals closed the "extra" up to 30% when babies get stuck have anything to do with the rate of perinatal arterial ischemic stroke/PAS? I ask because you wrote that the rate of perinatal arterial ischemic stroke (PAS) increased dramatically when multiple risk factors were present... Some of the risk factors you listed are quite relevant to the grisly spectacle of OBs routinely closing birth canals up to 30% and routinely keeping birth canals closed when babies get stuck, as in, FETAL HEART RATE ABNORMALITY: Over three times as many stroke infants vs. control infants. (46% vs 14%, P.001) PROLONGED SECOND STAGE: Over five times as many stroke infants vs. control infants. (25% vs 4%, P.001) EMERGENCY CESAREAN DELIVERY: Over twice as many stroke infants vs. control infants.(35% vs 13%, P = .002) (OR) VACUUM EXTRACTION: Over twice as many stroke infants vs. control infants (24% vs 11%, P = .04), Of course, regardless whether MD-obstetricians are causing strokes in babies... MD-obstetricians have no business closing birth canals up to 30% or keeping birth canals closed the "extra" up to 30% when babies get stuck - or lying to cover-up. See the Four OB Lies below. It's mass child abuse - which is why I reported it to UCLA Chief of Police Karl T. Ross, mentioned above. The MDs among you are mandatory suspected child abuse reporters. If you suspect child abuse - please immediately report - it's the law. BTW, I am in favor of pardons in advance for MDs. As medical students, MDs are TRAINED to perform child abuse. More mass child abuse - perhaps also (perhaps) relevant to strokes in infants... MD-obstetricians at UCLA are "usually" clamping umbilical cords "within 15 to 20 seconds" - which means they are routinely robbing babies of massive amounts of blood volume - which may have some bearing on the infant stroke rate. See again: Strokes in babies (also: Chiro with headache and slurred speech) http://health.groups.yahoo.com/group...t/message/3429 Thanks for reading. Sincerely, Todd Dr. Gastaldo Born and raised in LA County Graduated UCLA (Biochem 1975) Graduated Los Angeles College of Chiropractic (DC, 1979) Living in Hillsboro, Oregon (503) 640-0456 PS THE FOUR OB LIES OB LIE #1. After MASSIVE change in the AP pelvic outlet diameter was clinically demonstrated in 1911 and radiographically demonstrated in 1957, the authors of Williams Obstetrics began erroneously claiming that pelvic diamaters DON'T CHANGE at delivery. OB LIE #2. After Ohlsen pointed out in 1973 that pelvic diameters DO change - the authors of Williams Obstetrics began erroneously claiming that their most frequent delivery position - dorsal - widens the outlet. OB LIE #3. After I pointed out in 1992 that dorsal CLOSES - and so does semisitting - the authors of Williams Obstetrics - put the correct biomechanics in their 1993 edition - but kept in their text (in the same paragraph!) - the dorsal widens bald lie that first called my attention to their text... OB LIE #4. OBs are actually KEEPING birth canals closed when babies get stuck - and claiming they are doing everything to allow the birth canal open maximally. (ACOG Shoulder Dystocia video - also forceps and vacuum births are performed with the mother in lithotomy.) See Make birth better: Dan Rather, before you leave CBS... http://health.groups.yahoo.com*/grou...t/message/2983 I noted some of the OB lies in an Open Letter to the FTC years ago... http://home1.gte.net/gastaldo/*part2ftc.html RELEVANT AMA PRINCIPLES OF MEDICAL ETHICS.... "[AMA physician[s] shall...strive to expose those physicians...who engage in fraud or deception." "[AMA p]hysician[s] shall...seek changes in those requirements which are contrary to the best interests of the patient." "[AMA p]hysician[s] shall...make relevant information available to patients, colleagues, and the public..." http://www.psych.org/psych_pra*ct/et...ions53101*.cfm AMA physicians are ignoring their own stated ethics - babies be damned. EMERGENCY. PREGNANT WOMEN: By using semisitting and dorsal delivery, OBs are closing birth canals up to 30%. Also, when babies get stuck, OBs KEEP women semisitting and dorsal - they KEEP the birth canal closed the "extra" up to 30% as they pull with hands, forceps and vacuums. THE SOLUTION: To allow your birth canal to OPEN the "extra" up to 30%, simply roll onto your side as you push your baby out - or use other "alternative" delivery positions. JUST BEWARE - some OBs will let pregnant women "try" alternative delivery positions - but will roll them back to semisitting/dorsal - close their birth canals the "extra" up to 30% for the actual delivery. Talk to your OB. Copied to: UCLA Police Chief Karl T. Ross via END Dr. Gastaldo's post to Janet Lee, MS et al. at UCSF... Thanks for reading everyone. Fernando, please encourage WHO to get involved. I think 100% of babies would want you to take action IMMEDIATELY. Sincerely, Todd Dr. Gastaldo PREGNANT WOMEN: Scroll up a little for THE SOLUTION... Copied to: Nancy Moss, Ph.D. at NIH This Open Letter to WHO's Fernando Althabe, MD will be archived for global access in the Google usenet archive. Search http://groups.google.com for "CSICOP/Pensar: Episiotomies 'ineffective or harmful'" |
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