If it is Michael Humphrey ex Cairns I guess it is. He got a bit of a caning on the list a while ago but I have heard he was a great support to the Mareeba Maternity unit when they had a GP obst having a go at them and trying to wreak havoc.
Cheers
Judy
<[EMAIL PROTECTED]>
Subject: Re: [ozmidwifery] I have typed up and pasted below an editorial comment in the August ANZJOG regarding breech birth. G
Date: Sat, 23 Aug 2003 18:42:42 +0800
Is this really the new head obst at KEMH? mm
> Australian and New Zealand Journal of Obstetrics and Gynaecology 2003;
> 43: 261 Editorial comment
The current relentless drive for 'evidence-based care' in medicine has
> aims which must be applauded. However, the consequences are not always
> beneficial to all, with a clear tendency, at time, for the 'evidence' to
> be applied inappropriately.
> Two manuscripts in this issue address the increasingly difficult
> subject of breech presentation. 1, 2 The 'Term Breech' 3 study did show
> that Caesarean section birth is associated with a higher likelihood of a
> quality outcome for singleton term babies than vaginal breech birth. The
> short-term maternal outcomes reported appeared to show that the
> increased use of Caesarean section was not to the detriment of the
> mothers.
> However, it did not examine longer term issues arising from
> Caesarean section, such as puerperal depression after discharge from
> hospital, future changes in fertility, and increasing morbidity and
> mortality in subsequent pregnancies. Equally, it did not (and could not)
> examine the consequences of the study being applied to other breech
> situations, such as multiple birth and preterm breech birth, and the
> effect upon the training and experience of obstetricians who will,
> inevitably, be faced with clinical situations such as the unexpected
> rapidly progressing vaginal breech birth and the woman who exercises her
> autonomous right to make and informed decision to attempt a term vaginal
> breech birth.
> Kaushik and Gudgeon 2 rightly remind us tat, if we are to follow
> 'the evidence' and advise all women with breech presentations that
> Caesarean section is the preferred mode of delivery, we have a
> responsibility to temper this advice with explanation of alternatives,
> including external cephalic version where appropriate. By implication,
> methods of training obstetricians in the techniques of vaginal breech
> birth must be found, to replace the experiential model used in the past.
>
>
> Michael HUMPHREY
> MB BS, PhD, FRANZCOG, FRCOG
> References
>
> 1 Phipps H, Roberts CL, Nassar N, Raynes-Greenow CH, Peat B, Hutton
> EK. The management of breech pregnancies in Australia and New Zealand.
> Aust NZ J Obstet Gynaecol. 2003; 43: 294-297.
>
> 2 Kaushik V, Gudgeon G. Caesarean for breech: A paradigm shift? Aust
> NZ J Obstet Gynaecol. 2003; 43: 298-301.
>
> 3 Hannah ME, Hannah WJ, Hewson SA, Hodnett ED. Saigon S, Willan AR.
> Planned caesarean section versus planned vaginal birth for breech at
> term; a randomised multi-centre trial. Term Breech Trial Collaborative
> Group. Lancet. 2000; 356: 1375-1383.
>
>
>
>
>
>
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