Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

14 questions · 14 findings · 8 reviews · Pregnancy and Childbirth

No studies found 1 · 7.1%GRADE not reported 2 · 14.3%Very low 4 · 28.6%Low 6 · 42.9%Moderate 0 · 0%High 1 · 7.1%

Intensity of glycaemic control for women with gestational diabetes mellitus ‐ strict glycaemic targets vs less‐tight glycaemic targets (child (as neonate, child, adult) outcomes)

Death or serious morbidity composite · Children (as neonate, child, adult) of women with GDM

Intensity of glycaemic control for women with gestational diabetes… showed no clear difference in composite of mortality or serious morbidity (as defined by trial) compared with less‐tight glycaemic targets (child (as neonate, child, adult)… (low certainty).

1 finding from 1 review

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

Perinatal mortality · women in established labour and their babies.

It is very uncertain whether intermittent ausculation of fetal heart rate in labour for fetal… changes perinatal mortality compared with routine Pinard (outcomes (very low certainty).

1 finding from 1 review

Antibiotics vs placebo

Mortality and morbidity prior to discharge (Neonatal intensive care admissions) · Women with meconium‐stained amniotic fluid in labour, gestational age more than 24 weeks

Antibiotic showed no clear difference in mortality and morbidity prior to discharge (Neonatal intensive care… compared with placebo (low certainty).

1 finding from 1 review

Planned early birth vs expectant management

Maternal mortality or morbidity · pregnant women with hypertensive disorders from 34 weeks' gestation to term

Planned early delivery leads to lower composite maternal mortality and morbidity compared with expectant management (high certainty).

1 finding from 1 review

Technique of BP measurement: Korotkoff phase IV vs Korotkoff phase V to represent diastolic BP

Perinatal mortality · pregnant women with diastolic hypertension

Technique of BP measurement: Korotkoff phase IV showed no clear difference in perinatal mortality compared with korotkoff phase V to represent diastolic BP (low certainty).

1 finding from 1 review

Calcium supplementation/fortification vs placebo (outcomes

Severe maternal morbidity and mortality index · women who are not yet pregnant and women in the early stages of pregnancy

Calcium supplementation showed no clear difference in severe maternal morbidity and mortality index compared with placebo (maternal outcomes) commencing before or early (low certainty).

1 finding from 1 review