Interventions found to reduce blood loss from myomectomy for leiomyomata (fibroids) of the uterus include: pericervical Foley catheter tourniquet, uterine artery ligation, various vasopressins and uterotonics, local haemostatics, and tranexamic acid.
There is insufficient data to support or refute the use of fetal assessment methods for improving neonatal and maternal outcomes in women with preterm prelabour rupture of membranes (PPROM), a condition that can increase the risk of respiratory distress, infection or brain haemorrhage in newborns.
On-site syphilis screening strategy seems to show benefits regarding syphilis detection and treatment in pregnancy, reduction in incidence of congenital syphilis, and reduction in treatment delay when compared to conventional syphilis infection tests.
Cardiotocography (CTG) for fetal monitoring during labour reduces short-term neonatal adverse outcomes, but is expensive and over-diagnoses fetal distress. Adding fetal pulse oxymetry (PO) to CTG did not help to reduce unnecessary caesarean sections (CS). Fetal assessment in low-resource settings depends mainly on a Pinard stethoscope or hand-held doptone ‘auscultation’, and simplified clinical fetal arousal tests.
Routine prophylactic antibiotics for caesarean section reduced the risk of wound infection, endometritis and severe infection by 60% or more, whether given before or after cord clamping. Single dose prophylactic antibiotics after cord clamping can be used for all caesarean sections.
Health-care practice guidance from WHO and other institutions