Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

3,535 questions · 3,601 findings · 252 reviews · Pregnancy and Childbirth

No studies found 726 · 20.2%GRADE not reported 421 · 11.7%Very low 828 · 23%Low 993 · 27.6%Moderate 486 · 13.5%High 147 · 4.1%

Soft cup vs rigid cup

Failed delivery with allocated instrument (primary) · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup may leads to higher failed delivery with allocated instrument (primary) compared with rigid cup (low certainty).

1 finding from 1 review

Soft cup vs rigid cup

Any maternal trauma (primary) · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup showed no clear difference in any maternal trauma (primary) compared with rigid cup (low certainty).

1 finding from 1 review

Soft cup vs rigid cup

Third‐ or fourth‐degree perineal tear (with or without episiotomy) · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup showed no clear difference in third‐ or fourth‐degree perineal tear (with or without episiotomy) compared with rigid cup (low certainty).

1 finding from 1 review

Soft cup vs rigid cup

Postpartum haemorrhage · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup showed no clear difference in postpartum haemorrhage (≥ 500 mL or as defined by trial authors) compared with rigid cup (moderate certainty).

1 finding from 1 review

Any type of forceps vs any vacuum cup

Any maternal trauma (primary) · Women in the second stage of labour, requiring an assisted vaginal birth

Any type of forceps showed no clear difference in any maternal trauma (primary) compared with any type of vacuum cup (low certainty).

1 finding from 1 review

Soft cup vs rigid cup

Low Apgar score · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup showed no clear difference in low Apgar score at 5 minutes (less than 7 or as defined by trial… compared with rigid cup (low certainty).

1 finding from 1 review

Soft cup vs rigid cup

Low umbilical artery pH (< 7.2 or as defined by trial authors) · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup showed no clear difference in low umbilical artery pH (< 7.2 or as defined by trial authors) compared with rigid cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Failed delivery with allocated instrument (primary) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in failed delivery with allocated instrument (primary) compared with any vacuum cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Any maternal trauma (primary) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in any maternal trauma (primary) compared with any vacuum cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Third‐ or fourth‐degree perineal tear (with or without episiotomy) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in third‐ or fourth‐degree perineal tear (with or without episiotomy) compared with any vacuum cup (moderate certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Postpartum haemorrhage · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in postpartum haemorrhage (≥ 500 mL) compared with any vacuum cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Low Apgar score · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in low Apgar score at 5 minutes (< 7 or as defined by trial authors) compared with any vacuum cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Low umbilical artery pH (< 7.2 or as defined by trial authors) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in low umbilical artery pH (< 7.2 or as defined by trial authors) compared with any vacuum cup (low certainty).

1 finding from 1 review

Any type of forceps vs any vacuum cup

Third‐ or fourth‐degree perineal tear (with or without episiotomy) · Women in the second stage of labour, requiring an assisted vaginal birth

Any type of forceps may leads to higher third‐ or fourth‐degree perineal tear (with or without episiotomy) compared with any type of vacuum cup (low certainty).

1 finding from 1 review

Any type of forceps vs any vacuum cup

Postpartum haemorrhage · Women in the second stage of labour, requiring an assisted vaginal birth

Any type of forceps showed no clear difference in postpartum haemorrhage (≥ 500 mL) compared with any type of vacuum cup (low certainty).

1 finding from 1 review

Any type of forceps vs any vacuum cup

Low Apgar score · Women in the second stage of labour, requiring an assisted vaginal birth

Any type of forceps showed no clear difference in low Apgar score at 5 minutes (< 7 or as defined by trial authors) compared with any type of vacuum cup (moderate certainty).

1 finding from 1 review

Any type of forceps vs any vacuum cup

Low umbilical artery pH (< 7.2 or as defined by trial authors) · Women in the second stage of labour, requiring an assisted vaginal birth

Any type of forceps showed no clear difference in low umbilical artery pH (< 7.2 or as defined by trial authors) compared with any type of vacuum cup (low certainty).

1 finding from 1 review