Gillian Ml Gyte

TL;DR: Evaluated the effectiveness and safety of continuous cardiotocography when used as a method to monitor fetal wellbeing during labour, which showed no significant improvement in overall perinatal death rate.

TL;DR: Providing additional placental blood to the preterm baby by either delaying cord clamping for 30 to 120 seconds, rather than early clamping, seems to be associated with less need for transfusion, better circulatory stability, less intraventricular haemorrhage (all grades) and lower risk for necrotising enterocolitis.

TL;DR: Although there is a lack of high-quality evidence, active management of the third stage reduced the risk of haemorrhage greater than 1000 mL at the time of birth and showed a significant decrease in primary blood loss greater than 500 mL, and mean maternal blood loss at birth.

TL;DR: There is no evidence from randomised controlled trials, upon which to base any practice recommendations regarding planned caesarean section for non-medical reasons at term, and there is an urgent need for a systematic review of observational studies and a synthesis of qualitative data to better assess the short- and long-term effects of caesaran section and vaginal birth.

TL;DR: There are only a small number of validated measures of satisfaction with care during labour and birth, and it is important that brief, reliable and valid measures are available for use in general and specific populations in order to assist research and inform practice.