Question · asked by 1 review

Fundal pressure by inflatable belt vs no fundal pressure: Operative birth (caesarean or instrumental vaginal)

Population
women with singleton pregnancy in vertex position in second stage of labour
Intervention
Fundal pressure by inflatable belt
Comparison
no fundal pressure
Outcome
Operative birth (caesarean or instrumental vaginal)

It is very uncertain whether fundal pressure by inflatable belt changes operative birth ‐ instrumental or caesarean section compared with no fundal pressure (very low certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Fundal pressure by inflatable belt vs no fundal pressure
Operative birth ‐ instrumental or caesarean section · women with singleton pregnancy in vertex position in second stage of labour
It is very uncertain whether fundal pressure by inflatable belt changes operative birth ‐ instrumental or caesarean section compared with no fundal pressure (very low certainty).
Fundal pressure during the second stage of labour (2017) · Cochrane Headline outcomes only
RR 0.62 [0.38, 1.01]4 studies · 891 participantsVery low

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Fundal pressure during the second stage of labour
2017 · 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.