Four new WHO recommendations supported by Cochrane Pregnancy and Childbirth reviews and ‘living guideline’ approach

The World Health Organization (WHO) has issued four new recommendations which are supported by evidence fromCochrane Pregnancy and Childbirth reviews.Cochrane has been a non-governmental organization in official relations with WHO since 2011, and a major aspect of this partnership is supporting WHO ’s global health guidelines with relevant evidence synthesis.The Cochrane Pregnancy and Childbirth Group has a long-standing collaboration with WHO on the development and updating of Cochrane reviews that inform WHO ’s guidelines on global maternal and perinatal health.This relationship has led to the development of ajoint ‘living guidelines’ system. The approach uses a combination of ongoing literature surveillance to inform prioritization, rapid appraisal of the potential impacts of new evidence on recommendations and accelerated updating of high-priority Cochrane systematic reviews for key questions.The four new WHO recommendations, which relate to the prevention and treatment of maternal peripartum infections, were developed using this approach.Read the new WHO recommendations:Routine antibiotic prophylaxis for women undergoing operative vaginal birthProphylactic antibiotics for women undergoing caesarean sectionChoice of antiseptic agent and method of application for preoperative skin preparation for caesarean sectionVaginal preparation with antiseptic agents for women undergoing caesarean sectionCochrane is extremely proud of this valuable work an...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social behaviors and communication. In rodents and humans, prenatal exposure to antiepileptic valproic acid is associated with an increased risk for autistic-like characteristics. One potential treatment is oxytocin, a prosocial neuropeptide that can be delivered intranasally. However, the sex-specific effects of valproic acid exposure and intranasal oxytocin treatment on behavior have not been fully explored. Pregnant Long Evans rats were administered valproic acid (500 mg/kg) or saline midday on gestational day 12, ...
Source: Behavioural Pharmacology - Category: Drugs & Pharmacology Tags: Research Reports Source Type: research
The objective of this study is to explore whether ambient temperature is associated with increased risk of EPT birth.MethodsBirth records for 315,226 infants born in Queensland Australia (2007 –2015) were matched to average maximum and minimum temperature for the last month of pregnancy. Odds ratios and 95% confidence intervals were calculated using a generalised linear model. Population attributable risk was calculated for a 5% reduction in maximum temperature.ResultsEach one degree increase in maximum [aOR 1.03 (95% CI 1.01, 1.05)] and minimum temperature [aOR 1.02 (95% CI 1.01, 1.04)] was associated with an increa...
Source: Maternal and Child Health Journal - Category: Health Management Source Type: research
AbstractBackgroundAntenatal care (ANC), delivery by skilled birth attendants, and postnatal care (PNC) are critical components of maternal health services for reducing maternal mortality. The study aimed to compare the utilization of maternal health services in the two most recent rounds of Ethiopia Demographic and Health Surveys (EDHS) and identify the factors influencing the utilization of these services using the 2016 EDHS.MethodsTwo rounds of EDHS data in 2011 and 2016 were used to estimate the proportion of women who had ANC, delivered by skilled birth attendants, and had a postnatal checkup and other characteristics ...
Source: Maternal and Child Health Journal - Category: Health Management Source Type: research
ConclusionThe ability to incentivize innovation to address critical public health issues cannot rest in the private sector alone. Complementing other investments, the Challenge mechanism ’s power to catalyze the rapid development of innovative solutions can improve how we address barriers to achieve optimal maternal and child health for the families that we serve.
Source: Maternal and Child Health Journal - Category: Health Management Source Type: research
This study describes an enhanced methodological approach using local program data linked with existing population-level datasets for external comparison to evaluate the Enterprise Community Healthy Start (ECHS) program in two rural Georgia counties and presents results from the evaluation.MethodsECHS program data were linked to birth records and the Pregnancy Risk Assessment Monitoring System (PRAMS) for 869 women who delivered a live birth in Burke and McDuffie counties from 2010 to 2011. Multivariate logistic regressions with and without propensity score methods modeled the association between ECHS participation and mate...
Source: Maternal and Child Health Journal - Category: Health Management Source Type: research
The aim of this study was to investigate the prevalence, frequency, and associated factors of intimate partner violence (IPV) in pregnant women in Osun State, Nigeria. The study used a cross-sectional design to survey 309 pregnant women who are attending o...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Risk Factor Prevalence, Injury Occurrence Source Type: news
At least eight pregnant Mississippi women have died of Covid-19 since late July -- none of them fully vaccinated -- officials said, more...
Source: Reuters: Health - Category: Consumer Health News Source Type: news
To estimate the incidence of ectopic pregnancy (EP) associated with prescription contraceptive use.
Source: Contraception - Category: OBGYN Authors: Source Type: research
ConclusionsIt is extremely important to continually promote breastfeeding among women. The role of midwives is crucial in this regard, as they should encourage the initiation of breastfeeding, support mothers during the perinatal and postnatal periods, and increase their sense of competence and confidence in their ability to breastfeed. Accessible, professional, and empathetic support can help reduce the number of women supplementing with modified milk. Undoubtedly, the postpartum period is important for breastfeeding outcomes, but it is significant that breastfeeding education and promotion begin during pregnancy.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
To compare the clinical pregnancy rate (CPR) and live birth rate (LBR) of embryo transfer episodes (ETEs) performed by Reproductive Endocrinology and Infertility fellows vs. those of ETEs performed by faculty physicians.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Tags: Original article Source Type: research
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