Tag Archives: Ethics

Conflicts of interest are not all financial, but they are conflicts none the less. Name change not required.

Another poorly argued article trying to minimize the reality of conflicts of interest in medical research. Cappola AR, FitzGerald GA. Confluence, not conflict of interest: Name change necessary. JAMA. 2015;314(17):1791-2. If someone stands to have a personal advantage as a result … Continue reading

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Also, still no parents!

My previous post was long enough without addressing another serious deficiency in these guidelines. It is worth its own post. The guidelines are written by doctors. And only doctors (actually only Obstetricians). There is no input mentioned from any other … Continue reading

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Another extremely flawed guideline on periviable deliveries

Oh Dear, here we go again… This is a joint statement from ACOG and the SMFM. There is some good in here, but you’d think they could at least get the facts right. “Delivery before 23 weeks of gestation typically … Continue reading

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What if 5 were the magic number?

Our weeks are made of 7 days. An entirely arbitrary unit of measurement, based on an idea that 7 is magical, so there are 7 continents, 7 seas, 7 days of the week. Or maybe because you can easily divide … Continue reading

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Many unethical pain studies in newborns

Carlo Bellieni and Celeste Johnston (Conflict of Interest flag, I have collaborated with both of them) have just reviewed a couple of recent years research of analgesic interventions in the newborn. Of 46 randomized studies of painful procedures, 70% had … Continue reading

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The new AAP position statement concerning extremely preterm birth decision making. A great leap… sideways.

To me, this new ‘clinical report’ was a major disappointment. Even though there are some good parts to this statement, there is one huge, major failing: there is absolutely no evidence that parents were consulted or included in the process of … Continue reading

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Writing Clinical Practice Guidelines, who should be involved?

Clinical Practice Guidelines are important for improving quality of care and uniformity of practice. Or at least they should be. There have been studies of the impact of guidelines, and it is variable, and sometimes negligible. Why is that? Why … Continue reading

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