Category: Research Updates

Antibiotics and operative vaginal birth

The authors of an updated Cochrane review entitled ‘Antibiotic prophylaxis for operative vaginal delivery’ have drawn the same conclusion as in previous versions of the review: that routinely giving antibiotics to women who have forceps or ventouse births leads to…

Another ‘shared decision-making’ rant!

I’ve ranted before about what I see as the inappropriateness of the term ‘shared decision-making’ in medical circles. Calling a decision a ‘shared decision’ implies that the practitioner gets a say in what the person chooses. Yet when it comes…

Women’s experience of vaginal birth after caesarean

Australian researchers have published a review and meta-synthesis of twenty research papers exploring women’s experience of vaginal birth after caesarean in a variety of birth locations. This is an important and valuable piece of work because, although we know that…

Birth outcomes and women of size

Another study has suggested that the differences in birth outcomes experienced by women of size may be due as much to provider attitudes and biases as to any intrinsic difference or disadvantage. Ellekjaer et al’s (2017) research, carried out in…

More evidence on targeting anti-D

A study carried out in Finland has provided more evidence of how we can use fetal rhesus group testing in order to offer anti-D prophylaxis only to those rhesus negative women who are carring rhesus positive babies and thus reduce…

Analysing water immersion guidelines

I recently read the most fascinating paper. Called ‘A critical analysis of Australian policies and guidelines for water immersion during labour and birth’, it aimed “to determine how water immersion policies and/or guidelines are informed, who interprets the evidence to…

On birth trauma…

“Whilst for many women pregnancy and birth is a wonderful, life affirming experience, the findings from this study have highlighted how birth trauma can be experienced by women as a culmination of previous life events, pregnancy and birth trauma and…

When even simple tools can harm…

A case study shared in this month’s International Journal of Obstetric Anesthesia carries an important warning message for women choosing to (and, almost more importantly, those supporting or working with women choosing to) use epidural or other forms of regional…