There is significant reduction in stillbirth, perinatal and neonatal mortality in the trained versus untrained TBA clusters. However, no clear benefit could be demonstrated with additional or advanced TBA training though, overall neonatal death rate may be lower. The results may be encouraging but more evidence is needed to establish any concrete inference.
There is no clear evidence that specialized antenatal clinics improve maternal and infant outcomes. However, the included trials lacked sufficient statistical power to detect any possible difference between groups.
This review assessed the effectiveness and safety of different surgical approaches to hysterectomy for women with benign gynecological conditions. There is insufficient evidence to make a strong recommendation regarding the optimal surgical management of benign gynecological conditions.
Repeat doses of corticosteroids should be offered to women at risk of preterm birth who remain undelivered seven or more days after initial course of corticosteroids to reduce the risk of respiratory distress syndrome and serious neonatal health problems.
Reduced visits programmes of antenatal care are associated with an increase in perinatal mortality compared to standard care. Women are less satisfied with the reduced visits schedule and gaps between visits. Reduced visits schedule may be associated with lower costs.
This review found a reduction in neonatal tetanus cases with a single dose of tetanus toxoid injection, and protection against death due to neonatal tetanus with the administration of two or more tetanus toxoid doses.
This systematic review of evidence on the effectiveness of antenatal cardiotocography (CTG) found no clear benefit of CTG for mothers or their babies in the included studies. However, the included studies have limitations with regard to implications for current practice.
Intratracheal surfactant administration to term and late preterm infants with meconium aspiration syndrome (MAS) can reduce the need for ECMO and their length of hospital stay, however there is no clear impact on infant mortality.