Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

14 questions · 14 findings · 1 reviews · Pregnancy and Childbirth

No studies found 7 · 50%GRADE not reported 0 · 0%Very low 2 · 14.3%Low 5 · 35.7%Moderate 0 · 0%High 0 · 0%

Routine vaginal examination vs vaginal examinations

Augmentation of labour (primary outcome)№ of participants: (0 studies) · primiparous pregnant women in labour at term

Routine vaginal examinations may leads to higher augmentation of labour (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Spontaneous vaginal birth · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in spontaneous vaginal birth (primary outcome)№ of participants: 204(1… compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Chorioamnionitis · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in chorioamnionitis (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Neonatal infection · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in neonatal infection (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Admission to NICU (primary outcome)№ of participants: 204(1 RCT) · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in admission to NICU (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine 4‐hourly vaginal examinations vs routine 2‐hourly vaginal examinations

Augmentation of labour (primary outcome)№ of participants: (0 studies) · primiparous pregnant women in labour at term

It is very uncertain whether routine 4‐hourly vaginal examinations changes augmentation of labour (primary outcome)№ of participants: 109(1 RCT) compared with routine 2‐hourly vaginal examinations (very low certainty).

1 finding from 1 review

Routine 4‐hourly vaginal examinations vs routine 2‐hourly vaginal examinations

Spontaneous vaginal birth · primiparous pregnant women in labour at term

It is very uncertain whether routine 4‐hourly vaginal examinations changes spontaneous vaginal birth (primary outcome)№ of participants: 150(1… compared with routine 2‐hourly vaginal examinations (very low certainty).

1 finding from 1 review