Showdown at the O.B. corral
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A group of cowpokes published a paper about health outcomes under obstetric policies that restricted elective inductions before 39 weeks. The group reported that the policies were associated with an alarming increase in macrosomia and stillbirth. While it was a cohort study and not randomized, the sheer size of the trial (>24,000 pregnancies) lent the findings considerable weight. A few months later, however, a letter to the editor appeared in the same journal from another group of cowpokes who had also been tracking the effect of the policies.
Evidence Based Practice 18(6): 3