Effective Care in Pregnancy and Childbirth
Effective Care in Pregnancy and Childbirth
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怀孕和分娩的有效护理
DOI：
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发表时间：
1990
期刊：
影响因子：
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通讯作者：
D. Paintin
中科院分区：
文献类型：
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作者：
D. Paintin
杂志的社论专栏很少引起人们的注意，或者评论一本书，但也很少有一本书值得这样的注意。由Chalmers、Enkin和Keirse编辑的《有效的妊娠和儿童护理》（Effective Care in pregnancy and childir /h）可能是本世纪产科领域最重要的书籍，它对该行业的价值将是深远而持久的。20年前，英明的医生Richard Asher（1972）写道：“我们总是说‘这种病有什么治疗方法？’而不是‘这种病有什么治疗方法吗？’”“有效治疗”这个说法很古怪……从逻辑上讲，我们不应该进行治疗，除非它是有效的。他不得不得出这样的结论。与其公开承认治疗的失败，不如相信治疗的无稽之谈，我发现这是逻辑推理引导我得出的最令人不安的概念之一。如果你向你的朋友承认你所提供的治疗是毫无作用的，你将很难激发病人的信心，除非你恰好是一个非常有天赋的演员，你的治疗的阻力将是微不足道的。但如果你坚信你的治疗，即使是受控的
It is rare for the editorial columns of a journal to draw attention to, or to review a book, hut then it is also rare to have a book which merits such a notice. Effective Care in Pregnuncy and Childbir/h, edited by Chalmers, Enkin and Keirse, is probably the most important book in obstetrics to appear this century and its value to the profession will be profound and long lasting. Twenty years ago that wise physician Richard Asher (1972) wrote: ‘We always say “What is the treatment o j thi-s disease?” rather than “Is there ~i Ireuhient for this disease?”. Evetz the expression “effective treatment” is a quaint one . . . Logically we sharrld not give treatment unless i1 is effective. ’ He was driven to conclude that. ‘It is better to believe in therapeutic nonsense, than openly to adniit therapeutic bankruptcy find thi5 one of the rnost uncomfortable concepfs that logical reasoning leads me to. f fyou admit t o yout-sey that the treatment you are giving is frankly inactive, you will inspire little confidence in your patients unless y o u huppen to be a remurkably gifted actor, and the resiilts of your treatment will be negligible. But If you believe ferIwitly in your treatment, eveii though controlled