Electronic fetal monitoring in the twenty-first century: Language, logic and Lewis Carroll

Author:

Sartwelle Thomas P1,Johnston James C234ORCID,Arda Berna5,Zebenigus Mehila4

Affiliation:

1. Hicks Davis Wynn, P.C., Houston, TX, USA

2. San Antonio, TX, USA

3. Global Neurology Consultants, Auckland, New Zealand

4. Department of Neurology, Addis Ababa University, Addis Ababa, Ethiopia

5. Department of Medical Ethics, Ankara University, Ankara, Turkey

Abstract

The Alice Books, full of illogical thoughts, words, and contradictions, were unrivaled entertainment until the publication of the medical literature promoting electronic fetal monitoring (EFM) for every pregnancy. The modern-day EFM advocates acknowledge EFM’s decades long failure but simultaneously recommend EFM use for lawsuit protection and because the profession has used EFM for every pregnancy for fifty years, therefore, it must be efficacious. These self-indulgent, illogical rationalizations ignore the half century of evidence-based scientific research proving that EFM is a complete failure as well as ignoring the fact that continued EFM use violates the fundamental principles of modern bioethics. This blind advocacy perpetuates four pernicious EFM harms occurring to mothers, babies, and the medical profession itself. This article sets out these four EFM harms with the goal of abolishing the misguided, illogical, contradictory, arguments used by the twenty-first century EFM Lewis Carroll mimics.

Publisher

SAGE Publications

Subject

Philosophy,Issues, ethics and legal aspects,Medicine (miscellaneous)

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