The future of intrapartum care: navigating the perfect storm—an obstetrician's odyssey

Published:April 20, 2009DOI:
      Fellow officers, members, and guests, it is a humbling privilege to address you as the 71st president of this venerable society. Although I wear size-12 shoes, I am following in the very large footprints of the eminent presidents who have preceded me. 2009 will be a significant year in my life. It will mark my 40th year as a physician and my eligibility for Medicare and Social Security. By year's end, I will retire from the full-time practice of obstetrics and will deliver the last of thousands of babies. I have watched the evolution of “modern obstetrics” and the birth and death of technologies intended to make the birth process safer for mothers and infants. The timeliness of this talk is highlighted by a recent review of 41 common practices in labor and delivery.
      • Berghella V.
      • Baxter J.K.
      • Chauhan S.P.
      Evidence-based labor and delivery management.
      Only 4 had strong evidence based on data from scientific trials to support their recommendation while the vast majority either lacked supportive data or should not be offered based on available trial outcomes. I will now take you on an obstetrician's odyssey during which we will encounter the “perfect storm” of current intrapartum care.
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