Obstetrics is funny bc basically a bunch of men invented a highly medicalized way to give birth based on physician convenience, efficiency, and straight up pseudoscience in the 19th-early 20th century and now we are recognizing the merits of traditional midwifery practices that have been done successfully since time immemorial but we have to wait for decades of research to implement them because each protocol "change" (which is really a return) requires clinical trials to prove it is evidence. which would be fine but this is a standard our current protocols, which often are completely based on tradition and no scientific basis, just aren't held to. like you're telling me it took decades to prove delayed cord clamping is safe (duh) but we don't need to prove that giving birth in stirrups on your back is "safe"? want to push not on your back in stirrups? well that is not evidenced based to improve outcomes (there are no quality studies on it) so it's not worth the effort of letting u do it. like ur telling me we had to do actual studies to prove that feeling safe improves birth outcomes? i hate it here.
