Article Text

Download PDFPDF
What’s your position on giving birth?

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

In 1979, Archie Cochrane awarded obstetrics and gynaecology a wooden spoon, as the specialty with the worst use of scientific evidence to support clinical practice – the fewest randomised controlled trials and systematic reviews.1 This provoked the first evidence-based obstetric text book, published in 1989, and the model for the subsequent cross-specialty Cochrane Pregnancy and Childbirth Database in 1993.2 Since then, the National Institute for Health Research (NIHR) Clinical Research Network has facilitated national recruitment to multicentre trials in all specialities, and the evidence base for decision making is growing. Despite this laudable progress in evidence-based practice, some areas of clinical research have remained …

View Full Text