03 May, 2007

April JASS

Colleague,

Life-style continues to be a theme that the journals publish for women's health.

There are healthy, weight-reducing diets and exercise on the one hand, and the disadvantages of obesity on the other. Scientific evidence backs sensible eating and physical activity.

These are refreshing data because one might have anticipated research in the 21st century to be moving towards molecular and genetic studies. The fact that epidemiology which describes the maintenance of health is reported, allows us to advise patients about what they can do to help themselves to better health.

The issue of supplementation to prevent congenital abnormalities seems a “no brainer” but most European countries have yet to implement the practice. Is it democracy gone mad that makes them kowtow to mavericks and often whacky science that opposes such enhancement to prevent neural tube and facial cleft defects?

Evidence-based medicine has resulted in major changes in obstetric management yet it seems politicians are reluctant to heed its logic. It should be a cause that O&G societies in each country should be lobbying for - as well as fluoride addition to drinking water.