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Table 3 Health-related outcomes

From: Optimising reproductive and child health outcomes by building evidence-based research and practice in South East Asia (SEA-ORCHID): study protocol

Recommended practice

Outcome intended to reduce

Beneficial forms of care

 

Antibiotics for preterm prelabour rupture of membranes (pPROM)16

Chorioamnionitis; neonatal sepsis

Corticosteroids prior to preterm birth17

Neonatal death; complications of preterm birth

External cephalic version for breech presentation at term18

Caesarean section rate; birth trauma

Continuous support during labour19

Caesarean section rate

Magnesium sulphate for eclampsia and pre-eclampsia20,21,22

Maternal death; eclampsia

Active management of third stage of labour23

Postpartum haemorrhage; maternal death

Intraoperative antibiotics during caesarean section24

Maternal infection

Vacuum extraction (versus forceps) for operative delivery25

Perineal injury; postpartum haemorrhage

Immunisation for Hepatitis B26

Hepatitis B infection

Forms of care likely to be harmful

 

Routine episiotomy27

Perineal injury; maternal infection

Routine shaving* 28

Maternal infection

Routine enemas* 29

Maternal infection

  1. * No clear evidence from Cochrane reviews to support or refute use, but identified as practices of importance to research and evaluate