Intrapartum factors in early-onset group B streptococcal sepsis in term neonates: a case-control study

Article Abstract:

Stricter guidelines for judging which pregnant women are at risk of group B streptococci infection may prevent transmission to infants during labor and delivery. Researchers compared 21 women infected with group B streptococci whose infants were also infected to 63 infected women with uninfected babies. Just 10% of mothers of infected infants met current guidelines for receiving preventive treatment. Mothers of infected infants had longer labors and longer periods of ruptured membranes before delivery. Initiating preventive treatment 10 hours, rather than 18 hours, after membranes ruptured could have allowed 62% of mothers to receive treatment.

Health aspects, Streptococcal infections, Risk factors, Diseases, Infants (Newborn), Childbirth, Delivery (Childbirth), Neonatal diseases

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Myth of the ideal cesarean section rate: Commentary and historic perspective

Article Abstract:

Study is conducted which attempts to define, or enforce, an 'ideal' cesarean section rate are futile, and should be abandoned. It is argued that cesarean rate is a consequence of individual value-laden clinical decisions and that is not amenable to the methods of evidence-based medicine.

Evidence-based medicine

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Evidence-based surgery for cesarean delivery

Article Abstract:

Several steps used in cesarean delivery were reviewed in order to find evidence-based guidance for surgical decisions during cesarean delivery. It was concluded that caesarean-based techniques that were supported by good quality recommendations should be performed on a routine basis.

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