Re: Caesar's army

Issue: BCMJ, vol. 46 , No. 2 , March 2004 , Pages 56 Letters

Dr A. Krisman’s letter in the November issue of the BCMJ [2003;45(9):431] criticizing the cesarean section rate of the province will be appreciated by other retired old fogey obstetricians such as myself. One wonders how a respected institution such as the Rotunda Hospital in Dublin can keep its section rate in single figures whilst here we accept a rate three times as high.

Many years ago my father visited the United States with the Gynaecological Visiting Society of Great Britain. He questioned a New York obstetrician about the section rate in that city, which seemed to be much higher than in the UK, and was told that the three commonest indications for this surgical interference were indolence, ignorance, and avarice. This may still be part of the problem, but I suspect that today the main reason is fear of litigation. If the result of any pregnancy is not a perfect infant with no suffering on the part of the mother, the first question the lawyer asks is “Why was a cesarean section not done, or done sooner?” even if it has no bearing on the case. The legal profession has done a disservice both to our patients and to us. I believe that the three quoted indications of the old New Yorker might well be applied to them.

—H. Martin Gough, MD
Victoria

H. Martin Gough, MD. Re: Caesar's army. BCMJ, Vol. 46, No. 2, March, 2004, Page(s) 56 - Letters.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:

  • Only the first three authors are listed, followed by "et al."
  • There is no period after the journal name.
  • Page numbers are not abbreviated.


For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org

BCMJ Guidelines for Authors

Leave a Reply