I'm perplexed by the characterization of an absolute increased risk of death of 1.5/1000 as small.
In the US failure to restrain an infant in a scar seat has an absolute increased risk of death of about 3.3/100,000, yet every state legally mandates the use of car seats.
If we feel strongly that we should enact laws to prevent an increased risk of death due to lack of a car seat, should we really counsel our patients that the 50X higher risk at OOH birth is small or a reasonable risk to take?
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