Midwife led debriefing to reduce maternal depression

doi:10.1136/bmj.321.7274.1470

BMJ 2000;321:1470 ( 9 December )

Letters

Midwife led debriefing to reduce maternal depression

Effectiveness of individual midwives is unclear

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Effectiveness of individual midwives is unclear

The first 150 words of the full text of this article appear below.

EDITOR $---$ I should like to comment on the randomised controlled trial of midwife led debriefing to reduce maternal depressionby Small et al.¹ The first randomised clinical trial was ofa drug treatment, streptomycin for pulmonary tuberculosis,²which has provided the model for clinical trials ever since. Ina drug trial we are not usually concerned with who is giving thedrug because the effect of the drug itself is being measured.The treatment is impersonal, and we should be justified in assumingthat the effect of a drug given by one person will be the sameas it would be given byanother.

When we carry out trials of more personal treatments, however, as in the trial by Small et al, we should be aware that thetreatment given by one operator might not be the same as thatgiven by another. Surgeons are not all equally skilful, . . . [Full text of this article]

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Relevant Article

Randomised controlled trial of midwife led debriefing to reduce maternal depression after operative childbirth: Rhonda Small, Judith Lumley, Lisa Donohue, Anne Potter, and Ulla Waldenström
BMJ 2000 321: 1043-1047. [Abstract] [Full Text] [PDF]

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