«There have been no randomized trials of the total package of active management or of the use of
strict diagnostic criteria alone, but trials of early amniotomy, early oxytocin, and these interventions combined do not suggest that these interventions are effective in reducing rates of cesarean sections or operative vaginal deliveries.
The
diagnostic criteria for anorexia, bulimia and binge eating disorder are very
strict — for example, people are classified as bulimic if they binge and purge at least twice a week for three months, and not any less.