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Effective gynaecological practice and evidence-based medicine.

Today we are all expected to practice evidence-based medicine. However, there are many problems with regard to this in gynaecology, as in many areas, because the evidence base is sadly lacking. Obstetrics is much more advanced, with evidence based on randomized controlled trials being promoted heavily by Iain Chalmers, particularly in 1989 with the publication of Effective Care in Pregnancy and Childbirth.