New in RHL

Drugs for preventing malaria in pregnant women in endemic areas

Malaria chemoprevention for pregnant women in endemic areas has clinically important benefits for mothers and newborns

Skin preparation for preventing infection following caesarean section

Strategies to minimize post-caesarean section sepsis may contribute to reduction of maternal mortality and morbidity. This review found no significant differences between various types and methods of antiseptics, except very low quality evidence of reduced skin bacteria colony counts with chlorhexidine gluconate versus povidone-iodine. More research is needed.

Digital vaginal examination for routine assessment and identification of delay in active labour

Digital vaginal examination at intervals of four hours is recommended for routine assessment and identification of delay in active labour.

Effect of partogram use on outcomes for women in spontaneous labour at term

Active phase partograph with a four-hour action line is recommended for monitoring the progress of labour.

Facilitators and barriers to giving birth in facilities in low- and middle-income countries

Strategies and incentives to promote and sustain respectful, non-abusive, high quality care during facility-based childbirth are required.

Magnesium sulphate for preventing preterm birth in threatened preterm labour

Magnesium sulphate is not effective for reducing the risk of preterm birth and its may use may increase the risk of mortality

Probiotics for preventing preterm labour

Although the use of probiotics is effective in treatment of vaginal infection, currently there is no evidence to support its use for preventing preterm labour.

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.



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


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