Variability and associated factors in the management of cord clamping and the milking practice among Spanish obstetric professionals.

Clinical practice guides recommend delayed clamping of the umbilical cord. If this is not possible, some authors suggest milking as an alternative. The objective of this study was to determine the variability in professional practice in the management of umbilical cord clamping and milking and to identify factors or circumstances associated with the different methods.

Variability of Clinical Practice in the Third Stage of Labour in Spain.

Clinical practice guidelines recommend the active management of the third stage of labour, but it is currently unknown what practices professionals actually perform. Therefore, the aim of this study was to determine the variability of professional practices in the management of the third stage of labour and to identify any associated professional and work environment factors. A nationwide cross-sectional study was performed with 1054 obstetrics professionals between September and November 2018 in Spain.

Oxytocin discontinuation after the active phase of induced labor: A systematic review.

Background: Oxytocin is the most widely used drug in the induction of labor, but it could have potential adverse effects that derive from uterine hyperstimulation.

Aim: To determine the benefits and drawbacks of oxytocin continuation versus oxytocin discontinuation after the active phase of induced labor.

Methods: We systematically searched Pubmed, EMBASE, Scopus, ClinicalTrials.

Predictive model for risk of cesarean section in pregnant women after induction of labor.

Purpose: To develop a predictive model for risk of cesarean section in pregnant women after induction of labor.

Methods: A retrospective cohort study was conducted of 861 induced labors during 2009, 2010, and 2011 at Hospital "La Mancha-Centro" in Alcázar de San Juan, Spain. Multivariate analysis was used with binary logistic regression and areas under the ROC curves to determine predictive ability.

[Differences in cesarean sections between spontaneous and induced labour].

Background: The induction of labour (IOL) may be associated with complications for pregnant women. The aim was to assess the differences in the number of caesarean sections between spontaneous or induced labour.

Methods: Historical groups from 841 women with induced labour and 2,534 women with an spontaneous onset of labour over a three- year period (from 2009 to 2011).

Relation between induced labour indications and neonatal morbidity.

Purpose: To assess the main neonatal morbidity results in relation to induced labour indications.

Methods: Historical groups from a total of 3,817 deliveries over a three year period (2009, 2010 and 2011) in "Mancha-Centro" Hospital (Alcázar de San Juan) formed the study group. All programmed and non-avoidable caesarean sections and pregnancies under 35 weeks were excluded.

[Variability in the rate of episiotomies and its relation to severe perineal tears and neonatal morbility].

Objective: To determine the variability in the use of episiotomy among midwives and its relation to third and fourth-degree tears, and the impact on neonatal morbidity.

Method: A study was conducted on historical groups from a total of 2,366 eutocic births with a single live fetus greater than or equal to 37 weeks gestation and 18 midwives over a three year period (2009, 2010 and 2011) in "Mancha-Centro" Hospital (Alcázar de San Juan).The outcomes variables for this analysis were the incidence of episiotomy, perineal lacerations, and neonatal morbidity.