New in RHL

Active versus expectant management for women in the third stage of labour

Compared to expectant management, active management of third stage of labour can reduce risks of severe PPH and anaemia.

 

 

Doctors or mid-level providers for abortion

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.

Bed rest in singleton pregnancies for preventing preterm birth

There is a lack of evidence to support or refute the use of bed rest to prevent preterm birth in singleton pregnancies that are at high risk of spontaneous preterm birth.

 

Standardised formal neonatal resuscitation training (SFNRT) programmes for reducing mortality and morbidity in newborn infants

Newborn resuscitation training programmes for improving the health and survival of newborns appear to reduce newborn mortality in developing country settings.

Oral betamimetics for maintenance therapy after threatened preterm labour

When prescribing betamimetics for maintenance therapy after threatened preterm labour one must consider the potential side effects which may ensue.

Routine ultrasound in late pregnancy (after 24 weeks’ gestation)

Routine late pregnancy ultrasound in low-risk or unselected populations showed no benefit on mother or baby.

Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus

Magnesium sulphate for women at risk of preterm birth for neuroprotection of the fetus

Tranexamic acid for preventing postpartum haemorrhage

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.

Vitrification versus slow freezing for women undergoing oocyte cryopreservation

Vitrification was associated with an increased clinical pregnancy rate compared to slow freezing, however more research is needed.

Anti-d administration in pregnancy for preventing rhesus alloimmunisation

There is no clear benefit in the incidence of Rhesus alloimmunisation with prophylactic anti-D administration during pregnancy.

 

 

Treatments for breast abscess in breastfeeding women

There is currently insufficient evidence to support whether one method of treatment of lactational breast abscess is superior.

Vacuum aspiration for induced abortion in the first trimester

WHO recommends a range of options for expanding of health worker roles in the provision of vacuum aspiration for induced abortion < 12 weeks of gestation.

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