I enjoyed your informative talk at the Academy of Medicine last night.
You would be interested to know that as recently as 2011 the journal
Obstetrics & Gynecology published an article examining the scientific
evidence for ACOG practice recommendations. Only 25% were based
on controlled trials. The other 75% were based on observation or “expert
opinion.” And we understand that experts can also be misogynistic and racist.
The midwife who commented from the audience was correct — as midwifery
practices are subjected to rigorous research they are becoming validated as
safer and more beneficial than the often harmful interventions that are still routine
in most hospital births.
As a retired midwife who worked for decades in New York City hospitals I think that respectful communication between doctors and
midwives is important but the historical (and current) lack of respect comes from the
male medical model, not from midwives.
Is there a transcript of your talk available? I would like to read it.
Thanks for your good work,
Ellen Cohen, CNM (ret)
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