The Obstetrician's Dilemma
- 4 September 1986
- journal article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 315 (10) , 641-643
- https://doi.org/10.1056/nejm198609043151010
Abstract
Today's obstetricians are beleaguered hybrids of Don Quixote and King Canute. The windmills they tilt against are the buffeting forces generated by consumer groups, the government, third-party payers, and the legal system; among the tides they are asked to hold back are the rising rate of cesarean section and the growing demand for a perfect product every time. Their earnest desire to accommodate all these demands is thwarted by the realization that they cannot succeed, given the current limitations of the discipline and the almost impossible objectives.The primary surveillance technique currently used to ensure fetal well-being — namely, electronic . . .Keywords
This publication has 11 references indexed in Scilit:
- Relation of Private or Clinic Care to the Cesarean Birth RateNew England Journal of Medicine, 1986
- A Prospective Comparison of Selective and Universal Electronic Fetal Monitoring in 34,995 PregnanciesNew England Journal of Medicine, 1986
- Birth and the Origins of Cerebral PalsyNew England Journal of Medicine, 1986
- Cerebral palsy and mental retardation in relation to indicators of perinatal asphyxiaAmerican Journal of Obstetrics and Gynecology, 1983
- Fetal heart rate accelerations and late decelerations during the course of intrauterine death in chronically catheterized rhesus monkeysAmerican Journal of Obstetrics and Gynecology, 1982
- DO APGAR SCORES INDICATE ASPHYXIA?The Lancet, 1982
- Assessing the Costs and Benefits of Electronic Fetal MonitoringObstetrical & Gynecological Survey, 1979
- Fetal heart rate patterns and development in the first year of lifeAmerican Journal of Obstetrics and Gynecology, 1978
- Effect of Fetal Monitoring on Neonatal Death RatesNew England Journal of Medicine, 1978
- Fetal Heart Rate PatternsJAMA, 1972