@Atul_Gawande @NEJM @neel_shah It would be great to have you discuss this at the @RCObsGyn World Congress next June #RCOG2016- Any chance?
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@DrPaulFogarty@Atul_Gawande@NEJM@RCObsGyn sure! Would be honored!
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@Atul_Gawande@NEJM@neel_shah but can't ignore majority of UK women have a midwife involved in care, however complicated. It has impact. -
@dana_sidney@Atul_Gawande@NEJM@neel_shah US has over medicalized#birth and our outcomes are poorer for it.#midwife#normalizebirth
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@Atul_Gawande@subodhdave1@NEJM@neel_shah as always 'normal birth' is a retrospective diagnosis!Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@NEJM@neel_shah it all begins with excellent primary antenatal careThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@NEJM@neel_shah causing it or treating it?Thanks. Twitter will use this to make your timeline better. UndoUndo
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Not provocative if we all understand that childbirth is just another complex adaptive system at work.
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@CarolynMcC@Atul_Gawande@NEJM exactly right! -
@neel_shah@Atul_Gawande@NEJM As obstetrician I prefer low interventioned delivery by midwives in a hospital just in case something needed
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@Atul_Gawande@neel_shah@NICEcomms absolute figures - the evidence - real informed choice (great to see you leading US discussion!)Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@NEJM@neel_shah A very complex issue. The crux lies in the 'n' of 1 and informed choiceNetherlands provides counter argumentThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@NEJM@neel_shah Most US#Homebirth midwives have no liability insurance. OK with you? Do you support this to save costs?Thanks. Twitter will use this to make your timeline better. UndoUndo
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Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@NEJM@neel_shah@dana_sidney Also UK HC costs about 1/5 of US. Midwifes salary about 40K.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@NEJM@neel_shah I've had a baby in Germany, England & in US. Much prefer midwife assisted births & postnatal care in EuropeThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@neel_shah@NICEcomms full guideline here all of the evidence, all of our reasoning http://www.nice.org.uk/guidance/cg190/evidence …
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@Atul_Gawande@neel_shah@NICEcomms relative risk?#womendecide section 1.1 recs NICE CG190 recognise healthy women as autonomous adultsThanks. Twitter will use this to make your timeline better. UndoUndo
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