BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39450.458322.80 (Published 10 January 2008) Cite this as: BMJ 2008;336:104

Abandoned younger children who were moved from Romanian orphanages into foster homes had better cognitive development than those who were left in orphanages, and the greatest differences were seen in children who were fostered at a younger age (Science 2007;318:1937-40; doi: 10.1126/science.1143921). The study began when Romania did not have a foster care system, and the authors say their initial results led to the Romanian government prohibiting the institutionalisation of children younger than 2 years unless they are severely disabled.

In nulliparous women with breech presentation, external cephalic version performed by an experienced obstetrician was more successful at turning babies around when performed under spinal analgesia than with no analgesia. A prospective randomised controlled trial from Israel reported a 66.7% success rate under spinal block compared with 32.4% with no block (P=0.004). Placental position, estimated fetal weight, and maternal weight did not contribute to the success rate when analgesia was used, …

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