New in RHL

Planned elective repeat caesarean section versus planned vaginal birth for women with a previous caesarean birth

Current evidence regarding the choice of mode of birth in women with a previous caesarean section is limited.

Intrapartum antibiotics for known maternal Group B streptococcal colonization

The evidence for the use of intrapartum antibiotics for known maternal Group B streptococcal colonization is lacking.

Relaxation for perimenopausal and postmenopausal symptoms

There is not enough evidence to recommend relaxation as a treatment for perimenopausal or postmenopausal symptoms.

Duration of treatment for asymptomatic bacteriuria during pregnancy

Until better quality data become available, women with asymptomatic bacteriuria in pregnancy should be treated with the standard seven-day antibacterial regimen.

Extra fluids for breastfeeding mothers for increasing milk production

Currently there is no evidence to recommend extra fluid intake for breast-feeding mothers in order to increase milk production.

Oral misoprostol for induction of labour

Oral misoprostol is as an effective agent for induction of labour. Compared with vaginal dinoprost or oxytocin, misoprostol use results in less frequent use of caesarean section.

Betamimetics for inhibiting preterm labour

Betamimetics delay preterm labour, but are associated with multiple adverse effects.

Tocolytics for preterm premature rupture of membranes

Current evidence does not support the administration of tocolysis for women with preterm premature rupture of membranes (PPROM).

Elective birth at 37 weeks’ gestation for women with an uncomplicated twin pregnancy

In twin pregnancies, compared with expectant management, elective births at 37 weeks’ gestation is not associated with increased risks of adverse outcomes.

Endometriosis: an overview of Cochrane Reviews

Gonadotrophin-releasing hormone (GnRH) analogues, levonorgestrel-releasing intrauterine system (LNG-IUD), danazol and laparoscopic treatment are effective in controlling pain in women with endometriosis. In women with subfertility associated with endometriosis undergoing assisted reproduction, three-month treatment with GnRH analogues increased pregnancy rate. Laparoscopic surgery was better than diagnostic laparoscopy alone in terms of pregnancy rate and live birth.

Fundal pressure during the second stage of labour

At the present time there is no evidence to either support or discourage the use of manual fundal pressure during the second stage of labour.

Resources


Guidelines

Health-care practice guidance from WHO and other institutions

Methodological resources

Methodological and education resources for improved understanding of the concepts and discussions related to generation of best evidence

Videos
 

A set of training videos to help clinicians master details of manual or surgical procedures

RHL on iPad

Available for iPad, the RHL app allows you to access the entire library offline


WHO