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
Impact of changes to national UK Guidance on testing for gestational diabetes screening during a pandemic: a single-centre observational study.
To examine the differences in detection rate for gestational diabetes (GDM) comparing the methodology recommended by the National Institute for Health and Clinical Excellence (NICE) compared with testing described as appropriate during the Covid-19 pandemic by the Royal College of Obstetricians and Gynaecologists (RCOG). ⋯ Screening for GDM using RCOG Covid criteria reduced detection rates.
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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.