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.
This review compared primary overlap and end-to-end repair techniques in the management of obstetric anal sphincter injury (OASIS). There were no differences in perineal pain, dyspareunia, flatus incontinence and fecal incontinence. Overlap technique showed significantly lower risk of fecal urgency, lower anal incontinence score and deterioration of anal incontinence symptoms. However, there is insufficient evidence to make a strong recommendation regarding the best repair technique.
Search WHO guidelines on sexual and reproductive health
Health-care practice guidance from WHO and other institutions