Question · asked by 1 review

Upright position vs recumbent position: Caesarean section

Population
women in the second stage of labour with epidural anaesthesia
Intervention
Upright position
Comparison
recumbent position
Outcome
Caesarean section

Upright position leads to higher caesarean section compared with recumbent position (sensitivity analyses ‐ studies at low risk of… (high certainty).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 1 · 50%Low 0 · 0%Moderate 0 · 0%High 1 · 50%
FindingEffectStudiesGRADE certainty
Upright position vs recumbent position (sensitivity analyses ‐ studies at low risk of bias only)
Caesarean section · women in the second stage of labour with epidural anaesthesia
Upright position leads to higher caesarean section compared with recumbent position (sensitivity analyses ‐ studies at low risk of… (high certainty).
Maternal position in the second stage of labour for women with epidural anaesthesia (2018) · Cochrane Headline outcomes only
RR 1.29 [1.05, 1.57]3 studies · 3609 participantsHigh
Upright position vs recumbent position
Caesarean section · women in the second stage of labour with epidural anaesthesia
It is very uncertain whether upright position changes caesarean section compared with recumbent position (very low certainty).
Maternal position in the second stage of labour for women with epidural anaesthesia (2018) · Cochrane Headline outcomes only
RR 0.94 [0.61, 1.46]8 studies · 4316 participantsVery low

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Maternal position in the second stage of labour for women with epidural anaesthesia
2018 · Cochrane Headline outcomes only
Not reportedNot extractedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.