November 29, 2002

Anaesthetists query information given to parents

I have had an irate email message from an anaesthetist challenging some of the statements that I have made in “Preparing for Birth: Mothers”. Without being at all specific he demands to know my references for my “highly contentious statements without mention of conflicting evidence”.

I love these queries - and love the moral indignation that seeps through the message (which he has also copied to a whole pile of his colleagues). I have given him the list of references I have used, such as “A Guide to Effective Care in Pregnancy and Childbirth” , “Pursuing the Birth Machine” and The Cochrane Library and also threw in the list of references regarding teenage addiction following exposure to opiates or nitrous oxide during labour. He didn’t ask for these addiction references but I figured they might as well have them!

Since my correspondent seems to think I am lacking background information, I have invited him to send me copies of any research that he has that contradicts the very simple and basic information that I have included in my book. There is very little quality research on epidurals, for example, and few randomised controlled trials have been carried out. Anaesthetists have been quoted as saying that doing such research these days would be unethical because it would mean that some women would have to forego an epidural so they could make up a control group. This is a very convenient way of dodging the issue of providing evidence for the use of these techniques!

I am sure that this conversation will continue and I will report the next instalment in my Diary. What is it that has got them so steamed up? What research will they proffer to support their concerns? I will let you know the answers.......

Posted by andrea at November 29, 2002 01:08 PM

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You can let the anaesthetist know if he wants any volunteers for the no epidural control group I'll be the first to put my hand up ;)

Hugs, Larissa

Posted by: Larissa on December 1, 2002 02:17 PM

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Anaesthetists at our local hospital have expressed their great concern at the fact that CBE clients are being given Preparing for Birth as part of their program. They believe the book is not referenced, and based on Andrea's personal opinion only. They want the book out of the hospital. They also want to attend classes to give "a balanced view". Any suggestions for a frustrated CBE?

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