sampson.qxd

It’s enough for ten articles, but to address the Pitocin and induction issue–well-off women can afford the latest “trends”–doesn’t make it safer, but they have more options. Poor women are fodder for “studies” and have no choice. When I started OB, women were automatically given huge medio-lateral episiotomies–there was no good study to support this barbaric procedure, sometimes done without anesthesia, and when there were so many deliveries I didn’t call the resident until too late to cut one, actually they would say, “Damn, didn’t get to cut the epis,” even though the woman delivered with an intact perineum. All L & D nurses were skilled at who were the “butchers” and who used clinical judgment. While having no real power to protect our patients, we were advocates and damn proud.

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There is little good science in modern medicine, and what science there is in nursing is ignored.