Question · asked by 1 review

Planned caesarean section vs planned vaginal birth: Serious maternal morbidity or death

Population
women with a twin pregnancy
Intervention
Planned caesarean section
Comparison
planned vaginal birth
Outcome
Serious maternal morbidity or death

Planned caesarean section showed no clear difference in maternal death or serious maternal morbidity compared with planned vaginal birth (moderate certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Planned caesarean section vs planned vaginal birth
Maternal death or serious maternal morbidity · women with a twin pregnancy
Planned caesarean section showed no clear difference in maternal death or serious maternal morbidity compared with planned vaginal birth (moderate certainty).
Planned caesarean section for women with a twin pregnancy (2015) · Cochrane Headline outcomes only
RR 0.86 [0.67, 1.11]2 studies · 2844 participantsModerate

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Planned caesarean section for women with a twin pregnancy
2015 · 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.