Systematic Reviews of Interventions used in Childbirth

Follow the links below to find summaries of the systematic reviews of the evidence for the effectiveness of interventions used in childbirth.

Created August 2011

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28 Resources Found

Results 1 to 20 displayed.     1  2 

Title:   Routine umbilical injection after childbirth before delivery of placenta
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Almost all maternal deaths occur in the developing world. Bleeding during labour is responsible for at least a quarter of these deaths, with the majority due to postpartum haemorrhage. Failure of the muscles of the uterus to contract properly with separ...
Date:   Feb 2012
Title:   Fetal electrocardiogram (ECG) for fetal monitoring during labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Monitoring the baby's heart using electrocardiography (ECG) plus cardiotocography (CTG) during labour provides some modest help for mothers and babies when continuous monitoring is needed. Strong uterine contractions during labour reduce the flow of mat...
Date:   Feb 2012
Title:   Nitric oxide donors for cervical ripening and induction of labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Sometimes it is necessary to bring on labour artificially in the third trimester because of safety concerns for the mother or her baby. Most commonly used cervical ripening or induction agents also cause uterine activity or contraction, which requires c...
Date:   May 2011
Title:   Fundal pressure versus controlled cord traction as part of the active management of the third stage of labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Controlled cord traction to deliver the placenta should remain as part of the active management of third stage of labour. The third stage of labour is the period from the birth of the baby until delivery of the placenta. There are two basic intervention...
Date:   Sep 2010
Title:   Alternative positions for the baby immediately at birth before clamping the umbilical cord
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   There is no reliable research to show whether lifting or lowering the baby in the time between birth and cord clamping makes a difference to the health of the baby or the mother. If the cord is not clamped immediately at birth, blood will usually contin...
Date:   Aug 2010
Title:   Placental cord drainage after vaginal delivery as part of the management of the third stage of labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   The third stage of labour begins immediately after the birth of the baby and ends with the expulsion of the placenta and fetal membranes. It is preceded by contraction and retraction of the uterus to reduce uterine size and expel the placenta with minim...
Date:   Aug 2010
Title:   Inducing labour for pregnant women at term in outpatient settings
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Women may be more comfortable waiting for labour to start at home, and outpatient care may be less costly for providers of health services. Induction of labour (where labour is started artificially) is carried out for a variety of reasons including when...
Date:   Jun 2010
Title:   Anti-D administration after childbirth for preventing Rhesus alloimmunisation
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Immunisation of Rhesus negative women with anti-D after the birth of a Rhesus positive infant reduces the chances of developing Rhesus antibodies. Mothers and babies may have incompatible blood characteristics (such as Rhesus positive babies and Rhesus ...
Date:   May 2010
Title:   Inserting an IUD right after childbirth versus a later time
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Inserting an intrauterine device (IUD) right after childbirth can be good for many reasons. The woman is not pregnant and may be thinking about birth control. The time and place are convenient for the woman. However, the IUD might be more likely to come...
Date:   Apr 2010
Title:   Eating and drinking in labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   In some cultures, food and drinks are consumed during labour for nourishment and comfort to help meet the demands of labour. However, in many birth settings, oral intake is restricted in response to work by Mendelson in the 1940s. Mendelson reported tha...
Date:   Oct 2009
Title:   Near-Infrared spectroscopy for fetal assessment during labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   There are no randomised trials that assess the effects of near-infrared spectroscopy monitoring for lack of oxygen to babies' brains during labour. Near-infrared spectroscopy (NIRS) is a light-based way of measuring oxygen flows through the brain. It ca...
Date:   Aug 2009
Title:   Vaginal misoprostol is effective in inducing labour but more research is needed on safety
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Sometimes it is necessary to bring on labour artificially because of safety concerns for the mother or baby. Misoprostol is a hormone given by insertion through the vagina or rectum, or by mouth to ripen the cervix and bring on labour. The review of 121...
Date:   May 2009
Title:   Mothers' position during the first stage of labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Women in the developed world and in health facilities in low-income countries usually lie in bed during the first stage of labour. Elsewhere, women progress through this first stage while upright, either standing, sitting, kneeling or walking around, al...
Date:   Dec 2008
Title:   Antibiotic prophylaxis for operative vaginal delivery
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   There is not enough evidence to support the use of antibiotic prophylaxis for operative vaginal delivery. Vacuum and forceps assisted vaginal births are reported to increase the incidence of postpartum infections and maternal readmission to hospital com...
Date:   Aug 2008
Title:   Acupuncture for induction of labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   There is insufficient evidence describing the efficacy of acupuncture to induce labour. Induction of labour (getting labour started artificially) is common when the pregnancy is posing a greater risk to the pregnant woman or her unborn child. Acupunctu...
Date:   Jan 2008
Title:   Routinely shaving women in the area around the vagina on admission to hospital in labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Women may have their pubic hairs shaved with a razor (perineal shaving) when they are admitted to hospital to give childbirth. This is done in the belief that shaving reduces the risk of infection if the perineum tears or a episiotomy is performed and t...
Date:   Jan 2008
Title:   Effect of timing of umbilical cord clamping at birth of term infants on mother and baby outcomes
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   At the time of birth, the infant is still attached to the mother via the umbilical cord, which is part of the placenta. The infant is usually separated from the placenta by clamping the cord. The timing of this clamping is one part of the third stage of...
Date:   Dec 2007
Title:   Intracervical prostaglandins for induction of labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Prostaglandins inserted into the cervix are effective in starting labour, but are inferior to vaginal administration. Prostaglandins are produced naturally by the body during the process of labour. Their role is to prepare the cervix and to help open th...
Date:   Nov 2007
Title:   Vaginal chlorhexidine during labour to prevent early-onset neonatal group B streptococcal infection
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   Not enough evidence to show that washing the vagina with chlorhexidine during labour reduces group B streptococcal infections in babies. A woman's vagina normally contains numerous bacteria that generally pose no problems to her or to her baby. However,...
Date:   Sep 2007
Title:   Amniotomy alone for induction of labour
Publisher:   John Wiley and Sons, Ltd. for The Cochrane Collaboration
Description:   There is not enough evidence about the effects of amniotomy alone (deliberate rupture of the membranes) to induce labour. Sometimes it is advisable to get labour started (induction) because of concerns about either the pregnant woman or her unborn baby....
Date:   Jan 2007

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