I agree Marilyn. Another sneaking suspicion in my mind is that in this
trial, I am sure they will bring forward a qualitative arm, seeing if women
prefer it. This is one trial where I don't think the researchers will stick
to scientific findings only  - they need women to prefer it, don't they?
----- Original Message -----
From: "Marilyn Kleidon" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, October 24, 2003 11:00 PM
Subject: Re: [ozmidwifery] C/S in Sydney Morning Herald


> 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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>
>
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