Cerebral Palsy and Electronic Fetal Monitoring: Rearranging The Titanic’s Deck Chairs

Sartwelle, Thomas P.; Johnston, James C.

doi:10.4172/2472-1786.100013

Cited by 2 publications

(4 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Trial lawyers have accumulated vast wealth from the modern tort contingent fee system and have used that wealth partly to successfully block medical malpractice reforms (46,47). This success has included maintaining the lucrative EFM-birth asphyxia-CP cases within the high verdict value fault finding systems of most countries (4,6,7,10).…”

Section: Undue Influencementioning

confidence: 99%

“…Scientific proof discrediting the EFM-CP hoaxes slowly accumulated in every decade since 1960. This proof was published in multiple government, university, and privately sponsored studies, twelve RCTs, dozens of meta analyses, Cochran Collaboration Reviews, ACOG-AAP Task Force Reports, US Preventive Task Force Reports, editorials, and comments, in virtually every major medical journal in the world (4,7,9,11,12,16,31,46). The evidence has been readily accessible to every birth healthcare giver, and every lawyer, as well as the public and expectant mothers through newspaper articles, magazine articles, books, and birth related organisations (12,28,56,57,(63)(64)(65)(66)).…”

Section: Hl Menckenmentioning

confidence: 99%

“…At the same time, mothers were not given any choice in EFM monitoring or informed consent, nor were they told that EFM was doing more harm than good, or that EFM was unnecessary for a safe birth (9,12,16,46,(63)(64)(65)(66). This silence on the part of obstetricians was occurring despite pleas by some physicians, professional organisations, and even private citizens for obstetricians to follow bioethical autonomy and allow mothers an informed choice for foetal monitoring (9,12,16,35,59,60,(63)(64)(65)(66).…”

Section: Hl Menckenmentioning

confidence: 99%

“…CP-EFM litigation began in exactly the same way. Using the theories of the EFM inventors, the paid experts swore in courtrooms around the world that EFM predicted asphyxia and C-sections prevented CP (4,9,16,46,74). In a short time, however, science began to catch up and published research was proving CP was rarely caused by birth care providers and EFM was not predicting or preventing CP.…”

Section: An Age Of Unreason?mentioning

confidence: 99%

See 3 more Smart Citations

Cerebral palsy litigation after fifty years: A hoax on you

Sartwelle¹,

Johnston

Arda

et al. 2020

IJME

View full text Add to dashboard Cite

The worldwide cerebral palsy (CP) litigation crisis is predicated on the hoax that electronic foetal monitoring (EFM) predicts and prevents CP. There are decades of research disproving this hoax, yet EFM continues to be performed in the vast majority of labours in developed countries with resultant harm to mothers and babies alike through unnecessary caesarean sections with all of the attendant complications and ramifications of that procedure. This article reviews the history and evolution of EFM, explores the reasons for its misuse, discusses how obstetricians have abandoned their ethical mandate by failing to obtain informed consent for EFM, and proposes a realistic, practical solution that would effectively change the standard of care.

show abstract

Section: Undue Influencementioning

confidence: 99%

Section: Hl Menckenmentioning

confidence: 99%

Section: Hl Menckenmentioning

confidence: 99%

Section: An Age Of Unreason?mentioning

confidence: 99%

See 2 more Smart Citations

Cerebral palsy litigation after fifty years: A hoax on you

Sartwelle¹,

Johnston

Arda

et al. 2020

IJME

View full text Add to dashboard Cite

show abstract

Adverse childhood experiences and substance misuse in young people in India: results from the multisite cVEDA cohort

et al. 2021

View full text Add to dashboard Cite

Background Adverse childhood experiences (ACEs) increases vulnerability to externalising disorders such as substance misuse. The study aims to determine the prevalence of ACEs and its association with substance misuse. Methods Data from the Consortium on Vulnerability to Externalising Disorders and Addictions (cVEDA) in India was used (n = 9010). ACEs were evaluated using the World Health Organisation (WHO) Adverse Childhood Experiences International Questionnaire whilst substance misuse was assessed using the WHO Alcohol, Smoking and Substance Involvement Screening Test. A random-effects, two-stage individual patient data meta-analysis explained the associations between ACEs and substance misuse with adjustments for confounders such as sex and family structure. Results 1 in 2 participants reported child maltreatment ACEs and family level ACEs. Except for sexual abuse, males report more of every individual childhood adversity and are more likely to report misusing substances compared with females (87.3% vs. 12.7%). In adolescents, family level ACEs (adj OR 4.2, 95% CI 1.5–11.7) and collective level ACEs (adj OR 6.6, 95% CI 1.4–31.1) show associations with substance misuse whilst in young adults, child level ACEs such as maltreatment show similar strong associations (adj OR 2.0, 95% CI 1.1–3.5). Conclusion ACEs such as abuse and domestic violence are strongly associated with substance misuse, most commonly tobacco, in adolescent and young adult males in India. The results suggest enhancing current ACE resilience programmes and ‘trauma-informed’ approaches to tackling longer-term impact of ACEs in India. Funding Newton Bhabha Grant jointly funded by the Medical Research Council, UK (MR/N000390/1) and the Indian Council of Medical Research (ICMR/MRC-UK/3/M/2015-NCD-I).

show abstract

Cerebral Palsy and Electronic Fetal Monitoring: Rearranging The Titanic’s Deck Chairs

Cited by 2 publications

References 52 publications

Cerebral palsy litigation after fifty years: A hoax on you

Cerebral palsy litigation after fifty years: A hoax on you

Adverse childhood experiences and substance misuse in young people in India: results from the multisite cVEDA cohort

Contact Info

Product

Resources

About