gestation, in Phoenix, Arizona, between 1995 and 2000, showed no relationship with lunar phase. Analysis of 564,039 births (1997 to 2001) in North Carolina showed no predictable influence of the lunar cycle on deliveries or complications. Analysis of 6,725 deliveries (2000 to 2006) in Hannover revealed no significant correlation of birth rate to lunar phases. A 2001 analysis of 70,000,000 birth records from the National Center for Health Statistics revealed no correlation between birth rate and lunar phase. An extensive review of 21 studies from seven different countries showed that the majority of studies reported no relationship to lunar phase, and that the positive studies were inconsistent with each other. A review of six additional studies from five different countries similarly showed no evidence of relationship between birth rate and lunar phase. In 2021, an analysis of 38.7 million births in France over 50 years, with a detailed correction for birth variations linked to holidays, and robust statistical methods to avoid false detections linked to multiple tests, found a very small (+0.4%) but statistically significant surplus of births on the full moon day, and to a lesser extent the following day. The probability of this excess being due to chance is very low, of the order of one chance in 100,000 (p-value = 1.5 x 10-5). The belief that there is a large surplus of births on full moon days is incorrect, and it is completely impossible for an observer to detect the small increase of +0.4% in a maternity hospital, even on a long time scale. Blood loss It is sometimes claimed that surgeons used to refuse to operate during the full Moon because of the increased risk of death of the patient through blood loss. One team, in Barcelona, Spain, reported a weak correlation between lunar phase and hospital admissions due to gastrointestinal bleeding, but only when comparing full Moon days to all non-full Moon days lumped together. This methodology has been criticized, and the statistical significance of the results disappears if one compares day 29 of the lunar cycle (full Moon) to days 9, 12, 13, or 27 of the lunar cycle, which all have an almost equal number of hospital admissions. The Spanish team acknowledged that the wide variation in the number of admissions throughout the lunar cycle limited the interpretation of the results. In October 2009, British politician David Tredinnick asserted that during a full