My data from the KALI questionnaire is shaping up nicely. I guess it isn’t a big surprise, but, at least in the group I have interviewed, their knowledge about and attitudes toward labor and delivery interventions do seem to influence their reported practice patterns. And, as recent research indicates, practice patterns don’t necessarily follow the current body of evidence, expert opinion, or professional organizational guidelines, although many do. As of right now, I will most likely be looking at the associations between obstetricians and gynecologists’ knowledge, attitude, practice, professional guidelines and existing evidence on four interventions: episiotomy, elective cesarean, doulas, and upright positioning in the second stage.
I have more data on more aspects and more interventions, but I think this will make for the cleanest, most easily explained and supported outputs (e.g. poster and paper). I may use some of the other data on barriers, autonomy, VBAC, litigation, demographics, etc., in the future in other projects.
And, since I promised more poop jokes, I’ll have you know I was wandering around the house today singing Surfin’ Bird by the The Trashmen with the word “turd” substituted for bird. Yeah, I’m mature. At least the kids weren’t home, so I won’t be getting that phone call from school.