Dutch model of maternity care Midwifery led service is safe

Clarke, Paula; Toms, Adam; T, Bamfield; Jones, Shirley R.; Mascarenhas, Lawrence; Bievliet, F; Gee, Harold; Whittle, Martin

doi:10.1136/bmj.308.6936.1102

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“…Most debates over the wisdom of the Dutch maternity care system have been confined to the Dutch-language literature. Only rarely has the internecine arguing spilled over into English-language journals, and on most of those occasions the arguments have typically been limited to short articles or letters to the editor (e.g., 64,65). Given the position of Dutch obstetrics in the larger scientific community, it is instructive to look more closely at those rare occasions when English-language medical and obstetric journals have published research on the maternity care system of the Netherlands.…”

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confidence: 99%

The Warp of Evidence-Based Medicine: Lessons from Dutch Maternity Care

Vries

2004

Int J Health Serv

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Most critiques of evidence-based medicine (EBM) focus on the scientific shortcomings of the technique. Social scientists are more likely to criticize EBM for its ideological biases, a criticism that makes sociological sense but is difficult to substantiate. Using evidence from the scientific debate over maternity care in the Netherlands--where nearly one-third of births take place at home--the author shows that research evidence is the product of a researcher's assumptions about the practice in question. In the case of maternity care in the Netherlands, ideological differences about the most appropriate way to give birth--based in the researcher's clinical experience--give rise to irresolvable disagreements about what constitutes evidence and how that evidence is to be interpreted. "Evidence" cannot settle scientific disputes in any simple way. Rather, it becomes a rhetorical justification for whatever particular groups were going to do anyway. Scientific evidence rests on clinical practice, which in turn is rooted in structural arrangements and cultural ideas.

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Section: )mentioning

confidence: 99%

The Warp of Evidence-Based Medicine: Lessons from Dutch Maternity Care

Vries

2004

Int J Health Serv

View full text Add to dashboard Cite

show abstract

Dutch model of maternity care Midwifery led service is safe

Cited by 1 publication

References 3 publications

The Warp of Evidence-Based Medicine: Lessons from Dutch Maternity Care

The Warp of Evidence-Based Medicine: Lessons from Dutch Maternity Care

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