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Authors
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Physician & Social Entrepreneur, Executive Director of Costs of CareNeel Shah, MD, MPP
Physician & Social Entrepreneur, Executive Director of Costs of CarePhysician & Social Entrepreneur, Executive Director of Costs of Care
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Experts
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Director, Obstetrical Clinical Research and Quality Assurance at Massachusetts General Hospital/ Harvard Medical SchoolJeff Ecker, MD
Director, Obstetrical Clinical Research and Quality Assurance at Massachusetts General Hospital/ Harvard Medical SchoolDirector, Obstetrical Clinical Research and Quality Assurance at Massachusetts General Hospital/ Harvard Medical School
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Professor, Chair OBGYN, Emeritus Vice Dean GME at Reading Hospital and Medical CenterMark Woodland, MS, MD
Professor, Chair OBGYN, Emeritus Vice Dean GME at Reading Hospital and Medical CenterProfessor, Chair OBGYN, Emeritus Vice Dean GME at Reading Hospital and Medical Center
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Obstetrician Gynecologist at Beth Israel Deaconess Medical CenterToni Golen, MD
Obstetrician Gynecologist at Beth Israel Deaconess Medical CenterObstetrician Gynecologist at Beth Israel Deaconess Medical Center
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Instructor in Psychiatry, Harvard Medical School. Director of Digital Health, Brain Power.Arshya Vahabzadeh , M.D.
Instructor in Psychiatry, Harvard Medical School. Director of Digital Health, Brain Power.Instructor in Psychiatry, Harvard Medical School. Director of Digital Health, Brain Power.
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CMIO of Whittier IPA, Past Chair of the Board of Trustees of the AMA, Past President of the MMSJoe Heyman, MD
CMIO of Whittier IPA, Past Chair of the Board of Trustees of the AMA, Past President of the MMSCMIO of Whittier IPA, Past Chair of the Board of Trustees of the AMA, Past President of the MMS
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Ob/Gyn Physician, Health Tech Writer/Speaker/AdvisorKirti Patel, MD, MHL
Ob/Gyn Physician, Health Tech Writer/Speaker/AdvisorOb/Gyn Physician, Health Tech Writer/Speaker/Advisor
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Residency Program Director at Texas Tech Health Sciences CenterTeresa Baker, MD
Residency Program Director at Texas Tech Health Sciences CenterResidency Program Director at Texas Tech Health Sciences Center
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President at Pregnancy InstituteJason Collins, MD, MSCR
President at Pregnancy InstitutePresident at Pregnancy Institute
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Pediatrician, Neonatal (NICU) hospitalist, Medical Biochemical Geneticist, Clinical Geneticist, Co-Director of Pediatric Integrative Medicine (PIM) Residency program, Stanford Children's Hospital & Stanford University, California, USAAnnakaisa Niemi, MD, PhD, FAAP, FACMG
Pediatrician, Neonatal (NICU) hospitalist, Medical Biochemical Geneticist, Clinical Geneticist, Co-Director of Pediatric Integrative Medicine (PIM) Residency program, Stanford Children's Hospital & Stanford University, California, USAPediatrician, Neonatal (NICU) hospitalist, Medical Biochemical Geneticist, Clinical Geneticist, Co-Director of Pediatric Integrative Medicine (PIM) Residency program, Stanford Children's Hospital & Stanford University, California, USA
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Resident Physician at Drexel University College of Medicine/ Hahnemann University HospitalSarah Foster, MD
Resident Physician at Drexel University College of Medicine/ Hahnemann University HospitalResident Physician at Drexel University College of Medicine/ Hahnemann University Hospital
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UAB Medical Scientist Training ProgramEmily Blosser, MD, PhD
UAB Medical Scientist Training ProgramUAB Medical Scientist Training Program
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Obstetrician, Mayo ClinicMary Tolcher, MD, MS
Obstetrician, Mayo ClinicObstetrician, Mayo Clinic
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Engaged in many different avenues relating to the betterment of women’s health.Joanna Gullam, MD FRANZCOG
Engaged in many different avenues relating to the betterment of women’s health.Engaged in many different avenues relating to the betterment of women’s health.
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Professor Ob-Gyn at University of Puerto RicoCarmen Zorrilla, MD
Professor Ob-Gyn at University of Puerto RicoProfessor Ob-Gyn at University of Puerto Rico
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Chief of Obstetrics at Brigham HealthJulian Robinson, MD
Chief of Obstetrics at Brigham HealthChief of Obstetrics at Brigham Health
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ObGyn at UPR Hospital Dr. FedericoTrillaYailis Medina, MD, FACOG
ObGyn at UPR Hospital Dr. FedericoTrillaObGyn at UPR Hospital Dr. FedericoTrilla
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Moderators
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Resident in Obstetrics and Gynecology at University of Puerto Rico School of MedicineHelen Oquendo, MD
Resident in Obstetrics and Gynecology at University of Puerto Rico School of MedicineResident in Obstetrics and Gynecology at University of Puerto Rico School of Medicine
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4th Year Harvard Medical StudentGricelda Gomez
4th Year Harvard Medical Student4th Year Harvard Medical Student
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M3 OUWB School of Medicine, AMWA National Student TreasurerLexi Shepherd, MD Candidate
M3 OUWB School of Medicine, AMWA National Student TreasurerM3 OUWB School of Medicine, AMWA National Student Treasurer
About the Discussion
@NEJM Ask the Author & Experts: A NICE Delivery--The Cross-Atlantic Divide over Treatment Intensity in Childbirth
Perspective
A NICE Delivery — The Cross-Atlantic Divide over Treatment Intensity in Childbirth
For generations, both British and American mothers have assumed that the safest way to give birth is to spend many hours, if not days, in a hospital bed under the supervision of an obstetrician. Now, new guidelines are challenging these deeply held beliefs.
After completing an evidence-based review, the United Kingdom's National Institute for Health and Care Excellence (NICE) concluded that healthy women with straightforward pregnancies are safer giving birth at home or in a midwife-led unit than in a hospital under the supervision of an obstetrician.1 Across the pond, eyebrows went up. The New York Times editorial board (and others) wondered, “Are midwives safer than doctors?”2 How can homes be safer than hospitals? And what implications will the British guidelines have for the United States?
As a U.S.-trained obstetrician, I have little doubt that the United States offers outstanding care for medically complicated pregnancies. But there are lessons to be learned from the British system. The majority of women with straightforward pregnancies may truly be better off in the United Kingdom.
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Authors
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Physician & Social Entrepreneur, Executive Director of Costs of CareNeel Shah, MD, MPP
Physician & Social Entrepreneur, Executive Director of Costs of Care
Physician & Social Entrepreneur, Executive Director of Costs of Care
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Experts
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Director, Obstetrical Clinical Research and Quality Assurance at Massachusetts General Hospital/ Harvard Medical SchoolJeff Ecker, MD
Director, Obstetrical Clinical Research and Quality Assurance at Massachusetts General Hospital/ Harvard Medical School
Director, Obstetrical Clinical Research and Quality Assurance at Massachusetts General Hospital/ Harvard Medical School
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Professor, Chair OBGYN, Emeritus Vice Dean GME at Reading Hospital and Medical CenterMark Woodland, MS, MD
Professor, Chair OBGYN, Emeritus Vice Dean GME at Reading Hospital and Medical Center
Professor, Chair OBGYN, Emeritus Vice Dean GME at Reading Hospital and Medical Center
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Obstetrician Gynecologist at Beth Israel Deaconess Medical CenterToni Golen, MD
Obstetrician Gynecologist at Beth Israel Deaconess Medical Center
Obstetrician Gynecologist at Beth Israel Deaconess Medical Center
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Instructor in Psychiatry, Harvard Medical School. Director of Digital Health, Brain Power.Arshya Vahabzadeh , M.D.
Instructor in Psychiatry, Harvard Medical School. Director of Digital Health, Brain Power.
Instructor in Psychiatry, Harvard Medical School. Director of Digital Health, Brain Power.
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CMIO of Whittier IPA, Past Chair of the Board of Trustees of the AMA, Past President of the MMSJoe Heyman, MD
CMIO of Whittier IPA, Past Chair of the Board of Trustees of the AMA, Past President of the MMS
CMIO of Whittier IPA, Past Chair of the Board of Trustees of the AMA, Past President of the MMS
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Ob/Gyn Physician, Health Tech Writer/Speaker/AdvisorKirti Patel, MD, MHL
Ob/Gyn Physician, Health Tech Writer/Speaker/Advisor
Ob/Gyn Physician, Health Tech Writer/Speaker/Advisor
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Residency Program Director at Texas Tech Health Sciences CenterTeresa Baker, MD
Residency Program Director at Texas Tech Health Sciences Center
Residency Program Director at Texas Tech Health Sciences Center
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President at Pregnancy InstituteJason Collins, MD, MSCR
President at Pregnancy Institute
President at Pregnancy Institute
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Pediatrician, Neonatal (NICU) hospitalist, Medical Biochemical Geneticist, Clinical Geneticist, Co-Director of Pediatric Integrative Medicine (PIM) Residency program, Stanford Children's Hospital & Stanford University, California, USAAnnakaisa Niemi, MD, PhD, FAAP, FACMG
Pediatrician, Neonatal (NICU) hospitalist, Medical Biochemical Geneticist, Clinical Geneticist, Co-Director of Pediatric Integrative Medicine (PIM) Residency program, Stanford Children's Hospital & Stanford University, California, USA
Pediatrician, Neonatal (NICU) hospitalist, Medical Biochemical Geneticist, Clinical Geneticist, Co-Director of Pediatric Integrative Medicine (PIM) Residency program, Stanford Children's Hospital & Stanford University, California, USA
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Resident Physician at Drexel University College of Medicine/ Hahnemann University HospitalSarah Foster, MD
Resident Physician at Drexel University College of Medicine/ Hahnemann University Hospital
Resident Physician at Drexel University College of Medicine/ Hahnemann University Hospital
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UAB Medical Scientist Training ProgramEmily Blosser, MD, PhD
UAB Medical Scientist Training Program
UAB Medical Scientist Training Program
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Obstetrician, Mayo ClinicMary Tolcher, MD, MS
Obstetrician, Mayo Clinic
Obstetrician, Mayo Clinic
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Engaged in many different avenues relating to the betterment of women’s health.Joanna Gullam, MD FRANZCOG
Engaged in many different avenues relating to the betterment of women’s health.
Engaged in many different avenues relating to the betterment of women’s health.
-
Professor Ob-Gyn at University of Puerto RicoCarmen Zorrilla, MD
Professor Ob-Gyn at University of Puerto Rico
Professor Ob-Gyn at University of Puerto Rico
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Chief of Obstetrics at Brigham HealthJulian Robinson, MD
Chief of Obstetrics at Brigham Health
Chief of Obstetrics at Brigham Health
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ObGyn at UPR Hospital Dr. FedericoTrillaYailis Medina, MD, FACOG
ObGyn at UPR Hospital Dr. FedericoTrilla
ObGyn at UPR Hospital Dr. FedericoTrilla
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Moderators
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Resident in Obstetrics and Gynecology at University of Puerto Rico School of MedicineHelen Oquendo, MD
Resident in Obstetrics and Gynecology at University of Puerto Rico School of Medicine
Resident in Obstetrics and Gynecology at University of Puerto Rico School of Medicine
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4th Year Harvard Medical StudentGricelda Gomez
4th Year Harvard Medical Student
4th Year Harvard Medical Student
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M3 OUWB School of Medicine, AMWA National Student TreasurerLexi Shepherd, MD Candidate
M3 OUWB School of Medicine, AMWA National Student Treasurer
M3 OUWB School of Medicine, AMWA National Student Treasurer
