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%

Vaginal misoprostol vs placebo

Opiate use (as a proxy measure for pain) for all participants on ITT (including those without confirmed AMI) · early fetal death (less than 24 weeks)

It is very uncertain whether vaginal misoprostol changes pain (opiate use) compared with placebo (very low certainty).

1 finding from 1 review

DCC with immediate neonatal care after cord clamping vs ECC (subgroup analysis by gestation)

Death of baby (up to discharge) · babies born preterm, and their mothers

DCC with immediate neonatal care after cord clamping probably leads to lower death of baby (up to discharge) compared with ECC (subgroup analysis by gestation) (moderate certainty).

1 finding from 1 review

DCC with immediate neonatal care with cord intact vs ECC

Severe intraventricular haemorrhage · babies born preterm, and their mothers

DCC with immediate neonatal care with cord intact showed no clear difference in severe intraventricular haemorrhage (IVH grades 3, 4) compared with ECC (low certainty).

1 finding from 1 review

DCC with immediate neonatal care with cord intact vs ECC

Intraventricular haemorrhage · babies born preterm, and their mothers

DCC with immediate neonatal care with cord intact showed no clear difference in intraventricular haemorrhage (IVH, all grades) compared with ECC (low certainty).

1 finding from 1 review

DCC with immediate neonatal care with cord intact vs ECC

Periventricular leukomalacia · babies born preterm, and their mothers

DCC with immediate neonatal care with cord intact showed no clear difference in periventricular leukomalacia (PVL) compared with ECC (low certainty).

1 finding from 1 review

DCC with immediate neonatal care with cord intact vs ECC

Chronic lung disease · babies born preterm, and their mothers

DCC with immediate neonatal care with cord intact showed no clear difference in chronic lung disease (CLD) ‐ oxygen supplement at 36 weeks… compared with ECC (low certainty).

1 finding from 1 review

DCC with immediate neonatal care with cord intact vs ECC

Maternal blood loss of 500 mL or greater · babies born preterm, and their mothers

DCC with immediate neonatal care with cord intact showed no clear difference in maternal blood loss of 500 mL or greater compared with ECC (low certainty).

1 finding from 1 review

DCC with immediate neonatal care after cord clamping vs UCM

Death of baby (up to discharge) · babies born preterm, and their mothers

DCC with immediate neonatal care after cord clamping showed no clear difference in death of baby (up to discharge) compared with UCM (low certainty).

1 finding from 1 review

DCC with immediate neonatal care after cord clamping vs UCM

Death or neurodevelopmental impairment at age 2 to 3 years · babies born preterm, and their mothers

It is very uncertain whether DCC with immediate neonatal care after cord clamping changes death or neurodevelopmental impairment at age 2 to 3 years compared with UCM (very low certainty).

1 finding from 1 review

DCC with immediate neonatal care after cord clamping vs UCM

Severe intraventricular haemorrhage · babies born preterm, and their mothers

DCC with immediate neonatal care after cord clamping showed no clear difference in severe intraventricular haemorrhage (IVH grades 3, 4) compared with UCM (low certainty).

1 finding from 1 review

DCC with immediate neonatal care after cord clamping vs UCM

Intraventricular haemorrhage · babies born preterm, and their mothers

It is very uncertain whether DCC with immediate neonatal care after cord clamping changes intraventricular haemorrhage (IVH, all grades) compared with UCM (very low certainty).

1 finding from 1 review