Theory of obstetrics: An epidemiologic framework for justifying medically indicated early delivery

  title={Theory of obstetrics: An epidemiologic framework for justifying medically indicated early delivery},
  author={K. Shinta Joseph},
  journal={BMC Pregnancy and Childbirth},
  pages={4 - 4}
BACKGROUND Modern obstetrics is faced with a serious paradox. Obstetric practice is becoming increasingly interventionist based on empirical evidence but without a theoretical basis for such intervention. Whereas obstetric models of perinatal death show that mortality declines exponentially with increasing gestational duration, temporal increases in medically indicated labour induction and cesarean delivery have resulted in rising rates of preterm birth and declining rates of postterm birth… CONTINUE READING
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