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My name is... [in several languages]
[music]
[sounds of operating room]
>>Nabhan: I'm Professor Ashraf Nabhan. I work in the University of Ain Shams, Cairo
in the Department of Obstetrics and Gynecology.
I'm an Obstetrician/Gynecologist.
My primary interest is high risk pregnancy where there's high mortality for women
or for the baby, the fetus or newborn.
Perinatal mortality, as you know, we have one mother dying every minute all over the world
and we have six babies dying every minute all over the world.
So this is a very important issue to tackle.
Five years ago, I started working with The Cochrane Collaboration,
something was very unique about Cochrane Reviews;
I didn't know what it is.
[sounds of operating room - baby screams]
[music]
I was looking for something to tell me the evidence in one of the things that we do every day - Caesarean delivery;
the technique,
what to do and what not to do, what's best for the patient.
We have a very high rate of Caesarean delivery in Cairo,
one of the highest rates in, all over the world.
So, and this is one of the major causes of morbidity and mortality,
of maternal mortality and morbidity, so I needed to know what's best for my patients,
what best to teach my students and my residents and my staff.
So, I was looking for that.
I found a lot of literature regarding Caesarean delivery,
but Cochrane Reviews stood alone.
Very unique, very good piece of evidence, very high quality.
I was looking for an answer regarding how to know that this baby is in jeopardy inside the uterus, inside the womb.
Can we know that?
Can we find the best answer to tell us when to intervene and when to let the baby in for a longer period
to be mature and to deliver at time.
I sent this email to the co-ordinator of the Pregnancy Childbirth Group in Liverpool
and she instantly replied, very co-operative.
And then she told me that,
"Do you have contact with any consumer group?" I said, "No."
She said, "Ok, we'll get you in contact with someone.
Are you in contact with good statisticians and methodologists?" I said, "No, sorry."
She said, "Ok, we'll solve that for you. We'll get you in contact with someone.
Do you have any of other things that you dream of?"
And I said, "Ok, I dream of doing something good that might be of some use to some people."
She said, "Ok, we'll help you with that."
From 2008 when we published this review, practice worldwide changed.
They changed it.
I've done something that definitely will be of use and of help to doctors and to patients, to women and their babies.
Maybe this is one of the outcomes of the January revolt in Cairo;
that we’re starting to look for what's best for everyone, not for a special group of people in autocracy.
So, we are looking for people who can change the medical education and the health service in the country
where it can be evidence based.
Better for the people and saving costs. We have limited resources.
So, in my belief and I'm trying to deliver this message to my students and my colleagues
that if we work with evidence, this will be better for the patients
and less consuming, less resource consuming.
We save our resources and we save lives.
[music]