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Updated: Nov 8, 2025

Author Spotlight: Advancing Labor Management Through Electromyometrial Imaging for Understanding Uterine Contractions
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2. Labour and birth.

Mary Ross-Davie1, Alison Brodrick2, Wendy Randall3

  • 1RCM, 37 Frederick Street, Edinburgh, EH1 9NH, United Kingdom.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|April 21, 2021
PubMed
Summary

National guidance for UK maternity care during the COVID-19 pandemic, developed by the Royal College of Obstetricians (RCOG) and Royal College of Midwives (RCM), was widely adopted. The full impact on women and babies remains unknown.

Keywords:
COVID-19Foetal monitoringIntrapartum carePandemicSkin to skinWaterbirth

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Area of Science:

  • Maternal Health
  • Infectious Disease Epidemiology
  • Public Health Policy

Background:

  • The COVID-19 pandemic necessitated rapid development of national guidance for maternity care in the UK.
  • Guidance was primarily based on Royal College of Obstetricians (RCOG) and Royal College of Midwives (RCM) recommendations, incorporating Public Health England's infection control measures.
  • Evidence synthesis included emerging research, prior coronavirus experience, and expert consensus.

Purpose of the Study:

  • To describe the national guidance for labor and childbirth care in the UK during the COVID-19 pandemic.
  • To outline the development process and practical implementation of this guidance.
  • To identify knowledge gaps regarding the pandemic's impact on maternal and infant outcomes and intrapartum care.

Main Methods:

  • Rapid analysis of emerging research and evidence.
  • Incorporation of data from previous coronavirus outbreaks.
  • Consensus-building among UK maternity care professionals.
  • Review of national guidance documents from RCOG, RCM, and Public Health England.

Main Results:

  • The RCOG/RCM COVID-19 guidance achieved widespread acceptance within UK maternity services and internationally.
  • The guidance was considered a credible source for shaping pandemic-era maternity care.
  • The chapter discusses the practical translation of guidance into clinical practice.

Conclusions:

  • The developed UK COVID-19 maternity guidance was broadly adopted and recognized for its credibility.
  • Significant knowledge gaps persist regarding the long-term effects of the pandemic on women, newborns, and families.
  • Further research is needed to understand the impact of altered intrapartum care on patient experiences and professional practice.