Category Evidence

A scree on Andre Picard’s recent op ed…

I don’t think I’ve written a post in a while…more than a year?  I’ve been busy.  But something recently inspired me to come out of my “retirement,” and that something was Andre Picard’s piece in the Globe and Mail, “It’s time to stop treating pregnancy like a disease.” It is so egregious, so ignorant and […]

The connection between poor labour analgesia and PTSD

This is my second Mother’s day.  I don’t remember what we did last year.  I remember I had just gone back to work and was relieved to get out of the house and away from the baby to do adult things.  So maybe I wasn’t in much of the correct mood to celebrate Mother’s Day. […]

research vs the news – are c/s and formula babies really doomed?

You might have seen a study in the news that looked at the gut contents of babies that were born by caesarean section vs vaginally and that were breastfed or formula fed.  For those that misssed it, here are some links: CBC article Globe and Mail Winnepeg free press Toronto Star I guess it was […]

2 cm, 8/10

Okay, so back in the 1980s and 1990s there were a bunch of crappy poorly controlled observational studies that showed that epidurals in labour were associated with a slowing of labour and an increase in caesarean deliveries.  The ACOG then came out with a statement that it would be better to wait to initiate epidural […]

BC Minister of health makes short-sighted and inaccurate remarks…

In a piece in the Victoria Times Colonist a few days ago in relation to an increase in funding for home birth in British Columbia, the Hon. Dr. Margaret MacDiarmid, BC’s Minister of Health, made some very disturbing remarks. MacDiarmid, the former president of the B.C. Medical Association, is encouraging women with low-risk pregnancies to […]

It’s time to face something unpleasant

I have the day off before a night shift so after dropping my baby at daycare, I went for a run this morning.  And that’s when I finally had to admit something to myself. I have stress urinary incontinence. It’s not bad.  I can run and have been running since 4-5 weeks postpartum without any “accidents.”  […]

Why observational studies need to be interpreted with extreme caution

Since my son is taking longer and longer naps, I’ve had more time on the weekends to do things…like read the issues of Anesthesia and Analgesia that have been piling up over the last few months. I came across a very interesting observational study by Robert S Greenberg, Melania Bembea and Eugeni Heitmiller entitled, Rainy Days for […]

What I’ve been reading…the Women’s Health and Education Center

I stumbled across this site run by the Women’s Health and Education Center which is associated with the UN.  And I really really dig it. Some choice quotes: “The use of techniques and medications to provide pain relief in obstetrics requires an expert understanding of their effects to ensure the safety of both mother and fetus. Positive attitudes […]

Why won’t the placebo effect work on laundry?

One of the things I’m really enjoying as a mom is the chance to slow down a bit and see the world through my baby’s eyes.  A world that is fascinating and complex and where nothing is taken for granted.  He hasn’t developed any heuristics or other forms of mental shortcutting yet.  When he eats, […]

Epidurals and progression of labour

Today I’m going to investigate the claim made by NCB advocates that epidurals slow down labour.  I use the term “today” loosely,  I have a young infant and he hasn’t quite figured out how to be self-sufficient yet. “executive summary” epidurals prolong the first stage of labour compared to opioids for analgesia – but only by 30 […]