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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%

Admission cardiotocography vs intermittent auscultation

Rate of caesarean section · Low risk pregnant women. All of the women were in labour.

Admission cardiotocography showed no clear difference in incidence of caesarean section compared with intermittent auscultation (low‐risk women) (moderate certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Caesarean section ‐ ST analysis · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in caesarean section ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Intervention not reported

Caesarean section (all indications) · women with an abnormal cardiotocograph (CTG) in labour

It is very uncertain whether the intervention changes caesarean section (all indications) (very low certainty).

1 finding from 1 review

Summary of findings table ‐ Repeat dose(s) of prenatal corticosteroids vs single course

B3: Caesarean section – an all women · the woman

Summary of findings table ‐ Repeat dose(s) of prenatal corticosteroids showed no clear difference in B3: Caesarean section – an all women compared with single course (moderate certainty).

1 finding from 1 review

Intervention not reported

Caesarean section (all indications) Â · women with an abnormal CTG in labour

It is very uncertain whether the intervention changes caesarean section (all indications) Â (very low certainty).

1 finding from 1 review

Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care

Birth preferences: prefer caesarean section · women with fear of childbirth (tocophobia)

Non‐pharmacological interventions for fear of childbirth (tocophobia) showed no clear difference in birth preferences: prefer caesarean section compared with usual care (low certainty).

1 finding from 1 review

Fundal pressure by inflatable belt vs no fundal pressure

Operative birth (caesarean or instrumental vaginal) · women with singleton pregnancy in vertex position in second stage of labour

It is very uncertain whether fundal pressure by inflatable belt changes operative birth ‐ instrumental or caesarean section compared with no fundal pressure (very low certainty).

1 finding from 1 review

Intermittent ausculation of fetal heart rate in labour for fetal well‐being ‐ Doppler vs routine Pinard (outcomes

Caesarean section for fetal distress and/or fetal acidosis · women in established labour and their babies.

Intermittent ausculation of fetal heart rate in labour for fetal… probably leads to higher caesarean section for fetal distress and/or fetal acidosis compared with routine Pinard (outcomes (moderate certainty).

1 finding from 1 review

Intermittent ausculation of fetal heart rate in labour for fetal well‐being ‐ Intensive Pinard vs routine Pinard (outcomes

Caesarean section for fetal distress and/or fetal acidosis · women in established labour and their babies.

Intermittent ausculation of fetal heart rate in labour for fetal… showed no clear difference in caesarean section for fetal distress and/or fetal acidosis compared with routine Pinard (outcomes (low certainty).

1 finding from 1 review

Intermittent ausculation of fetal heart rate in labour for fetal well‐being ‐ Intermittent electronic fetal monitoring (CTG) vs routine Pinard (outcomes

Caesarean section for fetal distress and/or fetal acidosis · women in established labour and their babies.

Intermittent ausculation of fetal heart rate in labour for fetal… probably leads to higher caesarean section for fetal distress and/or fetal acidosis compared with routine Pinard (outcomes (moderate certainty).

1 finding from 1 review