There has been a lot of work done on sterile water injections in
Queensland, Australia, by Nigel Lee et al. - an RCT called the SWITCh
trial, comparing one with four simultaneous injections. I know that is
not the answer to your question, Denis, but may be of interest to some
readers.
Cheers, Deb
On Tue, Apr 1, 2014 at 6:31 AM, Sophie Alexander <[log in to unmask]> wrote:
> I did once see an underpowered RCT on the topic. Possibly an abstract at an
> EAPM meeting. I did not even know about this intervention. What I
> understood was that the issue was the primary outcome. Because if labour
> pains seem more acceptable because the water injection is SO painful, then
> what are we measuring?
>
>
>
> De : A forum for discussion on midwifery and reproductive health research.
> [mailto:[log in to unmask]] De la part de Denis Walsh
> Envoyé : lundi 31 mars 2014 17:23
> À : [log in to unmask]
> Objet : are intrapartum guidelines evidence based
>
>
>
> Does anyone know of papers that have estimated how much of routine
> intrapartum practice is evidence-based? The query stems from anaesthetists
> not accepting the introduction of water injections for back pain in an
> alongside midwifery unit unless a Cochrane review unequivocally shows
> benefit and recommends it (setting aside the issue of one professional group
> having the right of veto over another groups sphere of practice). We are
> looking for papers that summarise a cluster of therapies/interventions that
> are common practice with less of an evidence base than a robust Cochrane
> review and that the judgement about what therapies/interventions pass the
> test of robust evidence may be influenced by prior beliefs/preferences.
> There may also be literature that the decision of what is 'approved' for
> practice is related to the most powerful voices locally.
>
> Many thanks.
>
> Best wishes,
>
> Denis
>
> Dr Denis Walsh
>
> Associate Professor in Midwifery
>
> Postgraduate Director of Research & Knowledge Transfer
>
> Academic Division of Midwifery
>
> University of Nottingham
>
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> Medical School
>
> Queens Medical Centre
>
> Derby Rd
>
> Nottingham NG7 2UH
>
> Tel: +44(0)115 8230987
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