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
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