Epidemic of large babies highlighted by use of INTERGROWTH21st international standard.

Objective: To compare birth weights in central Sydney to the INTERGROWTH21st international standard to describe current trends in relation to optimal growth and to define areas that may benefit from improved obstetric surveillance and intervention.

Methods: Retrospective analysis of prospectively collected cohort.

Design: hospital-based cohort study.

Management of occiput posterior position in the second stage of labor: a survey of midwifery practice in Australia.

Background: The management of the occiput posterior (OP) position has been controversial for many years. Manual rotation can be performed by midwives and could reduce cesarean sections and instrumental births. We aimed to determine current midwifery views, knowledge, and practice of manual rotation.

Maternal outcome after conservative management of placenta percreta at caesarean section: a report of three cases and a review of the literature.

Retaining the placenta in situ at caesarean section for placenta percreta and awaiting placental reabsorption is widely practiced; however, there is limited evidence on the efficacy and complications of this strategy. We present three cases of placenta percreta managed conservatively and note that all three women experienced significant complications. A review of the literature showed that despite initial conservative management, 40% of women subsequently require emergency hysterectomy and 42% will experience major morbidity.