Comparison of outcomes – Forceps delivery v Caesarean Section
A study conducted in China has compared outcomes of forceps delivery with outcomes for caesarean section during the second stage of labour. The study of 7046 women found:
‘women who had a need for intervention with a station of + 2 or below, forceps were associated with a lower frequency of maternal infection but a higher rate of postpartum hemorrhage. Deliveries performed for nonreassuring status were accomplished faster by forceps and were associated with a lower frequency of the composite of perinatal mortality and HIE.’
The study can be found here.
Maternity eHandbook resource - management of breech and external cephalic version (ECV), and birth after caesarean.
Safer Care Victoria have released 2 new maternity ehandbooks in addition to the 5 they currently have. The new resources on management of breech and external cephalic version (ECV) and birth after caesarean complement the current resources that cover topics including decreased fetal movement, induction of labour & preterm labour. The handbooks provide clinical guidance for maternity clinicians caring for women during pregnancy, birth and the postpartum period. They provide an overview of the current evidence & information available on the topic, linking to further useful resources and providing key decision making and documentation points.
View all the handbooks here.
Study – ‘Is It the Time of Day/Week or Staffing Experience that Impacts Labor Floor Outcomes?’
A study by Reif et al. (BJOG, 2017) assessed whether time of birth, unit volume, and staff seniority affected neonatal outcomes among infants born ≥34w0d weeks. The study included 87,065 neonates and found: