Beyond Evidence: The Complexity of Maternity Care

Authors

  • Murray W. Enkin MD, FRCSC, LLD(Hon), DSc(Hon),

    1. 1Murray Enkin is Professor Emeritus, McMaster University,
      Hamilton, Ontario
      ; 2Sholom Glouberman is Philosopher in
      Residence, Baycrest Centre for Geriatric Care, Toronto
      ;
      3Philip Groff is Director, Research and Evaluation,
      Smartrisk, Toronto
      ; 4Alejandro R. Jadad is Professor, Chair,
      Chief Innovator, Centre for Global eHealth Innovation,
      Toronto
      ; and 5Anita Stern is a Doctoral candidate,
      McMaster University, Hamilton, Ontario, Canada.
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  • 1 Sholom Glouberman PhD,

    1. 1Murray Enkin is Professor Emeritus, McMaster University,
      Hamilton, Ontario
      ; 2Sholom Glouberman is Philosopher in
      Residence, Baycrest Centre for Geriatric Care, Toronto
      ;
      3Philip Groff is Director, Research and Evaluation,
      Smartrisk, Toronto
      ; 4Alejandro R. Jadad is Professor, Chair,
      Chief Innovator, Centre for Global eHealth Innovation,
      Toronto
      ; and 5Anita Stern is a Doctoral candidate,
      McMaster University, Hamilton, Ontario, Canada.
    Search for more papers by this author
  • 2 Philip Groff PhD,

    1. 1Murray Enkin is Professor Emeritus, McMaster University,
      Hamilton, Ontario
      ; 2Sholom Glouberman is Philosopher in
      Residence, Baycrest Centre for Geriatric Care, Toronto
      ;
      3Philip Groff is Director, Research and Evaluation,
      Smartrisk, Toronto
      ; 4Alejandro R. Jadad is Professor, Chair,
      Chief Innovator, Centre for Global eHealth Innovation,
      Toronto
      ; and 5Anita Stern is a Doctoral candidate,
      McMaster University, Hamilton, Ontario, Canada.
    Search for more papers by this author
  • 3 Alejandro R. Jadad MD, DPhil, FRCPC,

    1. 1Murray Enkin is Professor Emeritus, McMaster University,
      Hamilton, Ontario
      ; 2Sholom Glouberman is Philosopher in
      Residence, Baycrest Centre for Geriatric Care, Toronto
      ;
      3Philip Groff is Director, Research and Evaluation,
      Smartrisk, Toronto
      ; 4Alejandro R. Jadad is Professor, Chair,
      Chief Innovator, Centre for Global eHealth Innovation,
      Toronto
      ; and 5Anita Stern is a Doctoral candidate,
      McMaster University, Hamilton, Ontario, Canada.
    Search for more papers by this author
  • and 4 Anita Stern RN 5

    1. 1Murray Enkin is Professor Emeritus, McMaster University,
      Hamilton, Ontario
      ; 2Sholom Glouberman is Philosopher in
      Residence, Baycrest Centre for Geriatric Care, Toronto
      ;
      3Philip Groff is Director, Research and Evaluation,
      Smartrisk, Toronto
      ; 4Alejandro R. Jadad is Professor, Chair,
      Chief Innovator, Centre for Global eHealth Innovation,
      Toronto
      ; and 5Anita Stern is a Doctoral candidate,
      McMaster University, Hamilton, Ontario, Canada.
    Search for more papers by this author

Abstract

Preface: This paper has been gestating for a long time--the sixty years that I have been associated with maternity care. It was conceived during an era of medical authoritarianism, born in a time of nascent childbirth education and family-centered maternity care, matured in a period of enthusiastic (but not unquestioning) homage to evidence-based obstetrics, and culminated in a reluctant but comforting acceptance of uncertainty. It has passed through stages of enthusiasm, of disillusionment, and of reevaluation. It is, to use an ancient word I only recently learned, a clinamen, a swerve, a point of intellectual revision. Others in the Clinamen Collaboration share the authorship of this paper with me.

Murray Enkin

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