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Hi Lesley and all, I agree that it would be useful to clarify the text as many of us have misinterpreted what is written. Also it is a pity not to mention about high quality systematic reviews such as Scarf et al. (2018) which come to clear conclusions. Being based only on Cochrane review will lead to weaker conclusions and recommendations for practice. best wishes Lucia PhD, MSc, RM Lecturer in Midwifery and NIHR Research Fellow Centre for Maternal and Child Health Research School of Health Sciences City University London 1 Myddelton Street London EC1R 1UW 07989 230313 Skype contact: luciainsky On Wed, 21 Nov 2018 at 11:28, Page, Lesley < [log in to unmask]> wrote: > Dear All > > > I have only read the guidelines quickly but I agree with Sheena and Debbie > the evidence summary appears to lack congruence and is therefore confusing. > Of course in most areas there will be some conflicting evidence. This makes > presenting a summary of evidence in such a complex area very difficult. We > always have to remember people will want a quick read. However It might > need some narrative around some of this old evidence, and the suitability > of the methodology for the question. Could this be added as a footnote or > an addendum? > > > It is a pity to see this statement so early on, particularly because > Dorothy Shaw proposes midwifery led care as a solution to the too little > too late: too much too soon problem in the Lancet Maternal Health special > edition referred to in the guidelines. > > > I am sorry to be commenting after the guidelines have been published. Was > there a consultation that I missed? > > > In regard to epidurals I recommend the book by Elizabeth Newnham and > others, Towards the Humanisation of birth: A study of epidural analgesia > and hospital birth culture published by Palgrave MacMillan 2018. > > > With thanks and best wishes > > > Lesley > > Professor Lesley Page CBE > Visiting Professor in Midwifery KCL > Adjunct professor UTS Australia > Griffith University Australia > Honorary research fellow Oxford Brookes University > > mobile +44(o)7747708630 > > > > https://www.all4maternity.com/author/lesleypage/ > > <https://www.all4maternity.com/author/lesleypage/>twitter: > lesleypageCBE@humanisingbirth > > > > > > > > ________________________________ > From: A forum for discussion on midwifery and reproductive health research. > ######################################################################## > > To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link: > https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1 > ######################################################################## To unsubscribe from the MIDWIFERY-RESEARCH list, click the following link: https://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=MIDWIFERY-RESEARCH&A=1