Andrew Kotaska’s commentary, ‘‘Combatingcoercion: Breech birth, parturient choice, and theevolution of evidence-based maternity care’’ (Birth2007;34(2):176-180), names harmful behavior andillustrates the unfortunate consequences of applyingevidence-based practices routinely, without consideringlife’s complexities. It also highlights the stepsthat have been taken so far to rectify an untenablesituation.86 BIRTH 35:1 March 2008What inspires me most in this uncertain life andfragile world is our human potentiality to acknowledgeand rectify mistakes and to rise above the suffering.It is monumental that both the American Collegeof Obstetricians and Gynecologists (ACOG) and theRoyal College of Obstetricians and Gynaecologists(RCOG) have recognized the folly of dogmatic rulesthat prevent women in certain situations from havinga valid option and that also prevent skilled practitionersfrom role-modeling critical skills.
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