BJOG : an international journal of obstetrics and gynaecology
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To characterise medical, obstetric and demographic risk factors associated with nulliparous, term, singleton, vertex (NTSV) caesarean birth. ⋯ Among NTSV births, BMI, maternal age and medical conditions are important risk factors for caesarean delivery.
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Randomized Controlled Trial Multicenter Study
Intramuscular oxytocin versus Syntometrine® versus carbetocin for prevention of primary postpartum haemorrhage after vaginal birth: a randomised double-blinded clinical trial of effectiveness, side effects and quality of life.
To compare intramuscular oxytocin, Syntometrine® and carbetocin for prevention of postpartum haemorrhage after vaginal birth. ⋯ IM carbetocin does not reduce additional uterotonic use compared with IM Syntometrine or oxytocin.
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To estimate prevalence of vaping in pregnancy. Compare characteristics and attitudes between exclusive smokers and vapers, and between exclusive vapers and dual users (smoke and vape). ⋯ One in 20 women report vaping during pregnancy but of those that do vape, most also smoke, despite having intentions to quit.
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Observational Study
Umbilical cord clamping and skin-to-skin contact in deliveries from women positive for SARS-CoV-2: a prospective observational study.
To demonstrate that delayed cord clamping (DCC) is safe in mothers with confirmed SARS-CoV-2 infection. ⋯ This study demonstrates that delayed cord clamping is safe in mothers with confirmed SARS-CoV-2 infection.
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To explore the modifications to maternity services across the UK, in response to the coronavirus disease 2019 (COVID-19) pandemic, in the context of the pandemic guidance issued by the Royal College of Obstetricians and Gynaecologists (RCOG), Royal College of Midwives (RCM) and NHS England. ⋯ A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID-19.