They can't seem to get their head around women as individuals
and how each birth event should be treated individually and not
generalised into categories.
cheers
Judy
--- Mary Murphy <[EMAIL PROTECTED]> wrote:
> Isn't it interesting that "reasonably accurate" is acceptable
> in medical
> research. One can see the scenario that risk scoring will be
> used to
> increase caesareans rather than avoid it.
>
>
>
> "New risk score predicts cesarean after induction
> Source: Obstetrics & Gynecology 2006; 107: 227-33
>
> Simple scoring system may help decision-making when
> considering induction of
> labor.
>
> The risk of cesarean delivery after induction of labor can be
> predicted
> reasonably accurately using four simple measures, British
> obstetricians
> report.
>
> Elisabeth Peregrine and team from University College London
> Hospitals sought
> to develop a clinical model for predicting the outcome of
> labor induction.
> They evaluated maternal and ultrasound parameters in 267 women
> at 36 or more
> weeks of gestation immediately before induction of labor.
>
> The most frequent indication for induction was postdates, and
> 30 percent of
> the cohort subsequently required a cesarean delivery.
>
> In logistic regression analysis, four factors emerged as
> significant
> predictors of cesarean delivery: parity (odds ratio [OR] =
> 20.56), body mass
> index (OR = 6.17), height (OR = 0.94), and ultrasonic
> transvaginal cervical
> length (OR = 1.07).
>
> Peregrine's team used these to develop a simple risk scoring
> system, whereby
> a score of -65 to -55 indicates a more than 80 percent
> likelihood of
> cesarean delivery, and a score of -165 to -146 indicates a
> less than 1
> percent chance.
>
> The model has "reasonably good discriminatory ability," say
> the
> investigators, who conclude that it may allow more accurate
> counseling and
> better informed consent in the decision-making process when
> considering
> induction of labor."
>
> Posted: 22 February 2006
>
>
>
>
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