There was no difference in safety and effectiveness for mid-level providers administering first trimester abortion procedures (medical and surgical) compared to doctors. A small number of observational studies suggest that rate of abortion failure following surgical abortion may be higher, but more research is needed.
Prophylactic use of tranexamic acid (in addition to uterotonics) in low risk women reduced postpartum blood loss and prevented postpartum haemorrhage following both caesarean section and vaginal birth.
Routine ultrasound in early pregnancy increased the rate of detection of multiple pregnancies and fetal abnormalities before 24 weeks’ gestation. It seemed to be associated with a reduction in induction of labour for ’post-term’ pregnancy. No significant reduction in perinatal death, adverse outcomes for babies or in health service use was found. No adverse effects were demonstrated in long-term follow-up of children exposed to scan in utero.
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