Objectives: To investigate the relation between the timing of birth and the occurrence of death related to an intrapartum event. Design: Analysis of 107 206 births to Welsh residents in 1993-5, including 608 cases of stillbirth and 407 of neonatal death identified in the all Wales perinatal survey, the cause of death classified with the clinicopathological system. Subjects: 79 normally formed b...

Objective To examine FPs’ attitudes toward birth for those providing intrapartum care (IPC) and those providing only antepartum care (APC). Design National, cross-sectional Weband paper-based survey.

BACKGROUND Improving access to delivery services does not guarantee access to quality obstetric care and better survival, and therefore, concerns for quality of maternal and newborn care in low- and middle-income countries have been raised. Our study explored characteristics associated with the quality of initial assessment, intrapartum, and immediate postpartum and newborn care, and further as...

OBJECTIVE To examine differences in outcomes between planned home births, occurring at home or in hospital, and planned hospital births. DESIGN AND SETTING Population-based study using South Australian perinatal data on all births and perinatal deaths during the period 1991-2006. Analysis included logistic regression adjusted for predictor variables and standardised perinatal mortality ratios...

OBJECTIVE In the context of rapid changes regarding practices related to delivery in Africa, we assessed maternal and perinatal adverse outcomes associated with the mode of delivery in 41 referral hospitals of Mali and Senegal. STUDY DESIGN Cross-sectional survey nested in a randomised cluster trial (1/10/2007-1/10/2008). The associations between intended mode of delivery and (i) in-hospital ...

BACKGROUND Cardiotocography (CTG) is a monitoring of fetal heart rate and uterine contractions. Since 1960 it is routinely used by obstetricians to assess fetal well-being. Many attempts to introduce methods of automatic signal processing and evaluation have appeared during the last 20 years, however still no significant progress similar to that in the domain of adult heart rate variability, wh...

We thank Asma Khalil and colleagues, Jogender Kumar, Deepak Jha colleagues for their feedback in response to our analysis on the indirect effects of COVID-19 pandemic lockdown Nepal intrapartum care outcomes (preterm births, stillbirths, neonatal mortality).1

BACKGROUND The increasing rate of intrapartum cesarean sections is subject of attention and concern as it is associated with adverse outcomes. Labor dystocia is one of the most frequent indications for cesarean sections even though there is no consensus on criteria for labor dystocia. Traditionally the progression of labor follows guidelines based on Friedman's curve from the mid 1950s. In 2010...

OBJECTIVE The objective of the study was to evaluate attitudes and practice patterns of obstetricians related to screening for group B streptococcal colonization and providing intrapartum antibiotic prophylaxis against early-onset neonatal infections with group B streptococcus. STUDY DESIGN We mailed a survey to 546 members of the American College of Obstetricians and Gynecologists, including...

OBJECTIVE To examine the obstetric and perinatal outcome of pregnancies with singleton breech presentation at term when selection for vaginal delivery was based on clear prelabor and intrapartum criteria. METHODS The outcomes of all pregnancies with a breech presentation after 37 weeks of gestation were retrospectively reviewed from January 1997 to June 2000. Criteria for prelabor cesarean or...