Personally I wouldn't make a decision based on or one (or even two) research articles. It is important to know if the results have been replicated, are the articles peer reviewed, what is the research design, what are the flaws, are the statistics clear and how have they come up with the conclusion that the monitoring was not helpful.
I would talk to him about the concerns you have now that you have reviewed some of the literature. Good on you for taking control of you and your babies health, but take advantage of the knowledge the OB has as well - some things an article can't and wont cover.
Good luck with it all.
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18-08-2012 05:04 #11
Last edited by Ulysses; 18-08-2012 at 05:11.
18-08-2012 12:58 #12
Yes, as wherewerewe said, the reviews actually culminate all the large studies into one big result, so the stats in the article reflect a huge sample over a large span of time (37 000 births to be exact). It's the best way to draw a conclusion.
In answer to you wherewerewe - I'm perfectly happy to agree to monitoring if specific reasons come up. At present none of the scans have shown any indication of any of the problems common with GDM, and my sugars are very tightly controlled and in the target range 99% of the time. I don't want to be monitored because it's the done thing, but I will do it if it needs doing.
I had GDM with my last pregnancy and had intermittent monitoring and all was fine. I feel I coped well because I was able to get into the bath and move around, so I really want to avoid the restrictions of the monitor.
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18-08-2012 13:04 #13
I haven't looked at the studies, just saw a post here where it said one "article" provided the evidence required. If it was a cochrane review or meta analysis that makes perfect sense.
Last edited by Ulysses; 18-08-2012 at 13:08.
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18-08-2012 13:05 #14
18-08-2012 13:12 #15
As an aside... surely in the age of iPhones and whatnot someone, somewhere could have invented a monitor that doesn't need wires or elastic straps and can be worn in water??
18-08-2012 13:16 #16
18-08-2012 13:18 #17
well, ok it has straps but yeah ticks the rest.
FWIW I don't support CFM unless there are strong indications due to the high false positive results.
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18-08-2012 13:22 #18
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