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    Questions? Ask Henci!

    Find out what other moms-to-be are asking. Join in the discussion with Henci Goer, whose expertise is determining what the research tells us best promotes safe, healthy birth. If you would like to contact Henci outside of the Ask Henci forum, send an email to

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    Archived User

    Hi Henci,

    For some reason, the pop up blocker won't let me post the direct link to this stufy.  It was published Nov 2, 2010 in the BMJ and the title is "Perinatal mortality and severe morbidity in low and high risk  term pregnancies in the Netherlands: prospective cohort study"

    cite BMJ; 2010:341c5639


    Any thoughts you can share on it?

    Henci Goer

    Let me first take the lazy way out and post the link to the actual study, because it can be downloaded for free online, and draw your attention to a couple of rapid responses critiquing it and the investigators' response to their critiques. Scroll down the rapid responses to "Too early to question effectiveness of Dutch maternity care system" posted by De Jonge et al. and "Home or hospital delivery, who will sing the blues?" by Pop and Wijnen then go back to the investigators' response "Re: Too early to question effectiveness of Dutch maternity care system." If you haven't read the study already or the rapid response dialog, that may be enough for you to make up your own mind.  Here, too, to help you with your critical thinking process are links to Science and Sensibility blogs on "Questions to ask about original research" and "Questions to ask about quantitative research." Let me add, too, that it might be wise to keep in mind that there is a movement in the Netherlands, just as there is here in the U.S., to discredit the safety of independent midwifery care and home birth and to convince the public and regulatory agencies that births should only take place in hospitals under the supervision of obstetricians. It  may not be coincidental that the authors are all ob-gyns and pediatricians, with the exception of one secondary care midwife, and that the study follows on a large study establishing the safety of home birth in the Netherlands published the previous year. (FYI: De Jonge, one of the rapid response writers, was lead author on the home birth study.) 

    Get back to me if this doesn't satisfy you.

    ~ Henci 

    Archived User

    Thanks so much for posting the link to the critiques, that was great to read!

    Henci Goer

    You're welcome!

    ~ Henci

    All Times America/New_York

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