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Evidence found and GRADE certainty

151 questions · 152 findings · 77 reviews · Pregnancy and Childbirth

No studies found 9 · 5.9%GRADE not reported 8 · 5.3%Very low 36 · 23.7%Low 47 · 30.9%Moderate 37 · 24.3%High 15 · 9.9%

Case notes vs control

Caesarean section · pregnant women from the time of their first antenatal visit to the end of the puerperium

Case notes probably leads to higher caesarean section compared with control (moderate certainty).

1 finding from 1 review

Early initiation of epidural analgesia vs Late initiation

Caesarean section · pregnant women (at term) requesting epidural analgesia in labour (regardless of whether the labour was spontaneous or induced)

Early initiation of epidural analgesia showed no clear difference in caesarean section compared with late initiation (high certainty).

1 finding from 1 review

Pre‐mixed insulin (70 NPH/30 REG) vs self‐mixed split dose insulin (Different insulin regimens with similar insulin types used within the regimen)

Caesarean section 4 · pregnant women with pre‐existing diabetes

It is very uncertain whether pre‐mixed insulin (70 NPH/30 REG) changes caesarean section 4 compared with self‐mixed split dose insulin (Different insulin regimens with… (very low certainty).

1 finding from 1 review

Insulin injected with a Novolin pen vs insulin injected with a needle or syringe (Different insulin regimens with similar insulin types used within the regimen)

Caesarean section 4 · pregnant women with pre‐existing diabetes

It is very uncertain whether insulin injected with a Novolin pen changes caesarean section 4 compared with insulin injected with a needle or syringe (Different insulin… (very low certainty).

1 finding from 1 review

Regional analgesia (with tocolysis) vs no intervention of regional analgesia (with or without tocolysis)

Caesarean section · patients with breech presentation

It is very uncertain whether regional analgesia (with tocolysis) changes caesarean section (primary) compared with no intervention of regional analgesia (with or without tocolysis) (very low certainty).

1 finding from 1 review