Delaying the introduction of progressive enteral feeds for very low birth weight infants does not affect the risk of NEC or death. It delays the time until full enteral feeding is achieved; however, the clinical importance of this is not yet clear.
Early postoperative feeding after major abdominal gynaecologic surgery produced faster recovery of bowel function, lower rates of infectious complications, shorter hospital stay, and better patient satisfaction. It appears safe and did not result in any significant increase in complications.
Chlorhexidine vaginal washing during labour effectively reduces the bacterial load in the vagina, but has no effect on the risk of early-onset GBS illness. Further evaluation of its effectiveness is needed.
Postnatal depression (PND) affects more than 10% of postnatal women worldwide. Limited evidence from randomized trials found that selective serotonin reuptake inhibitors (SSRIs) are effective in addressing PND in terms of short-term response and remission. There was little evidence about effects on breastfeeding babies.
Attempts to induce maternal antibodies with paternal cells, third party donor leukocytes, trophoblast membranes or intravenous immunoglobulins have not proven effective in improving the chance of a live birth for women with recurrent miscarriages.
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