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Obstetric Myths Versus Research Realities:
A Guide to the Medical Literature

by Henci Goer

Table of Contents

Foreword Don Creevy, M.D. ix
Acknowledgments xi

1. Introduction 1
2. The Nature of Evidence:
How to Read the Medical Literature 7

Part I: The Cesarean Epidemic
3. The Cesarean Rate 21
4. Vaginal Birth After Cesarean 41
5. Cephalopelvic Disproportion, Failure to Progress,
Labor Dystocia and Active Management 83
6. Breech Presentation 107
7. Fetal Distress and Electronic Fetal Monitoring 131

Part II: Pregnancy and Labor Management
8. Gestational Diabetes 157
9. Postdates Pregnancy:
Induction vs Watching and Waiting 179
10. Prelabor Rupture of Membranes at Term 203
11. IVs vs Eating and Drinking in Labor 221
12. Amniotomy 239
13. Epidural Anesthesia 249
14. Episiotomy 275

Part III: The Case for an Alternative System
15. Midwives 297
16. The Free-Standing Birth Center 319
17. Home Birth 331
18. The Nature of Evidence (Reprise): Why the Gap Between Belief and Reality? 349

Glossary of Medical Terms 363
Index 375


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Read about another book by Henci Goer:
The Thinking Woman’s Guide to a Better Birth

Last updated Tue, Oct 5, 1999 by
Donna Dolezal Zelzer
, djz@efn.org

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