Sad news to report
A member of Glastonbury Festival’s crew has been pronounced dead on the site after being found unresponsive in his tent. Avon and Somerset Police were called after the man, aged in his 40s, was found in The Park on the Pilton site at about 2.20pm on Tuesday.
It was the second fatality at the festival this year, after a man in his 40s died in a medical incident in the early hours of Sunday. Emergency services attended the incident, which happened on a footpath known as the old railway line, shortly before 4am. The festival ended on Monday, though crew remain at the site to clear up and return it to fields that are ready for cows to graze on.
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Maternal and perinatal outcomes of prolonged second stage of labour: a historical cohort study of over 51,000 women - BMC Pregnancy and ChildbirthBackground Prolonged second stage of labour has been associated with adverse maternal and perinatal outcomes. The maximum length of the second stage from full dilatation to birth of the baby remains controversial. Our aim was to determine whether extending second stage of labour was associated with adverse maternal and perinatal outcomes. Methods A retrospective cohort study was conducted using routinely collected hospital data from 51592 births in Aberdeen Maternity Hospital between 2000 and 2016. The hospital followed the local guidance of allowing second stage of labour to extend by an hour compared to national guidelines since 2008 (nulliparous and parous). The increasing duration of second stage of labour was the exposure. Baseline characteristics, maternal and perinatal outcomes were compared between women who had a second stage labour of (a) ≤ 3 h and (b) | 3 h duration for nulliparous women; and (a) ≤ 2 h or (b) | 2 h for parous women. An additional model was run that treated the duration of second stage of labour as a continuous variable (measured in hours). All the adjusted models accounted for: age, BMI, smoking status, deprivation category, induced birth, epidural, oxytocin, gestational age, baby birthweight, mode of birth and parity (only for the final model). Results Each hourly increase in the second stage of labour was associated with an increased risk of obstetric anal sphincter injury (aOR 1.21 95% CI 1.16,1.25), having an episiotomy (aOR 1.48 95% CI 1.45, 1.52) and postpartum haemorrhage (aOR 1.27 95% CI 1.25, 1.30). The rates of caesarean and forceps delivery also increased when second stage duration increased (aOR 2.60 95% CI 2.50, 2.70, and aOR 2.44 95% CI 2.38, 2.51, respectively.) Overall adverse perinatal outcomes were not found to change significantly with duration of second stage on multivariate analysis. Conclusions As the duration of second stage of labour increased each hour, the risk of obstetric anal sphincter injuries, episiotomies a
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