Too little evidence to show whether relieving factors causing a baby's distress during labour is better than birth with caesarean, forceps or ventouse intervention.
Babies showing signs of distress during labour (unusual heart rates or the passing of a bowel motion) are at greater risk of complications following their birth. Operative management, such as surgery to remove the baby through the woman's abdomen (caesarean delivery) or the use of surgical instruments for vaginal delivery may be offered. The review of one study (350 women) found too little evidence to show whether operative management is more beneficial than treating factors which may be causing the baby's distress, such as too little fluid surrounding the baby, the woman's physical position or pain relief (conservative management). Further research is needed.