I just had this thought while having the morning shower:

I think the idea of a RCT for Vaginal vs c/s birth is flawed (as we have all
said) not only ethically but in a true epidemiological sense, I mean
isn't/wouldn't it be comparing the proverbial apples and oranges?  Isn't it
a bit like randomising a group of healthy people (who agreed to be in such a
trial??) to prophylactic appendicectomy (sp) or appendicectomy for symptons
only to see if elective removal of the appendix was a safer procedure? Now
wouldn't the prophylactic group have better outcomes at least in the
immediate post surgery period than those who waited for onset of acute sx?
fewer post surgery infections etc?? I mean for such a trial to have any
meaning over the life time wouldn't you also need a group of healthy people
who never had an acute episode which needed an intervention? Even so it is a
fruitless meaningless trial which could only prove that prophylactic surgery
was better?

The same with the c/s trial. It has to be stopped. It is a set up.

marilyn
----- Original Message ----- 
From: "*G and S*" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, October 23, 2003 12:34 AM
Subject: Re: [ozmidwifery] C/S in Sydney Morning Herald


> Have heard it said that since most women in
> Australia are having 2 children  these days, 2 c/s is not such a bad thing
> like why risk a vaginal birth ( said by a woman). It just breaks my heart.
> Too many failed inductions, too many interventions, too much fear.
>
> thinking of going fishing
>
> marilyn
>
>
> *I think we'll be at the same fishing spot and in the same boat!*
> Sonia.
>
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