Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

4,811 questions · 70,850 findings · 5,139 reviews

No studies found 15,174 · 21.4%GRADE not reported 6,479 · 9.1%Very low 17,330 · 24.5%Low 17,814 · 25.1%Moderate 11,056 · 15.6%High 2,997 · 4.2%

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Summary of findings table ‐ Midwife continuity models vs other models of care

Low birthweight · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity models showed no clear difference in birth weight less than 2500 g compared with other models of care (low certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Apgar score ≤ 7 at 5 minutes · childbearing women and their infants (all) (important/secondary outcomes)

It is very uncertain whether summary of findings table ‐ Midwife continuity models changes apgar score less than or equal to 7 at 5 minutes compared with other models of care (very low certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Admission to neonatal special care unit or intensive care unit · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity models showed no clear difference in admission to special care nursery/neonatal intensive care unit compared with other models of care (moderate certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Fetal loss before 24 weeks gestation · childbearing women and their infants (all) (important/secondary outcomes)

It is very uncertain whether summary of findings table ‐ Midwife continuity models changes fetal loss before 24 weeks gestation compared with other models of care (very low certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Regional analgesia (epidural/spinal) · childbearing women and their infants (all) (important/secondary outcomes)

It is very uncertain whether summary of findings table ‐ Midwife continuity of care models changes regional analgesia (epidural/spinal) compared with other models of care (very low certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Intact perineum · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity of care models showed no clear difference in intact perineum compared with other models of care (moderate certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Fetal loss at or after 24 weeks gestation · childbearing women and their infants (all) (important/secondary outcomes)

It is very uncertain whether summary of findings table ‐ Midwife continuity of care models changes fetal loss at or after 24 weeks gestation compared with other models of care (very low certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Preterm birth · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity of care models showed no clear difference in preterm birth (< 37 weeks) compared with other models of care (low certainty).

1 finding from 1 review

Summary of findings table ‐ Midwife continuity models vs other models of care

Neonatal death (baby born alive at any gestation and dies within 28 days) · childbearing women and their infants (all) (important/secondary outcomes)

It is very uncertain whether summary of findings table ‐ Midwife continuity of care models changes neonatal death (baby born alive at any gestation and dies within 28… compared with other models of care (very low certainty).

1 finding from 1 review

Summary of findings table ‐ Early developmental intervention programmes vs standard follow‐up

Cognitive outcome · preterm infants
3 findings from 1 review

Summary of findings table ‐ Early developmental intervention programmes vs standard follow‐up

Motor outcome at school age (Griffiths Locomotor, MABC) · preterm infants
2 findings from 1 review

Prophylactic corticosteroids vs placebo or no corticosteroids

Mortality within the longest · adults diagnosed with coronary artery disease or cardiac valve disease, and candidates for cardiac surgery with cardiopulmonary bypass

Prophylactic corticosteroids showed no clear difference in all‐cause mortality (during the index hospital admission, or within… compared with placebo or no corticosteroids (low certainty).

1 finding from 1 review

Prophylactic corticosteroids vs placebo or no corticosteroids

Cardiac complications (as defined by study authors, including cardiac compromise and fatal and non‐fatal myocardial infarction, defined as ECG changes, echocardiological changes, or disproportionate elevation of troponins, during the index hospita... · adults diagnosed with coronary artery disease or cardiac valve disease, and candidates for cardiac surgery with cardiopulmonary bypass

Prophylactic corticosteroids may leads to higher cardiac complications (as defined by study authors, including… compared with placebo or no corticosteroids (low certainty).

1 finding from 1 review