What do systematic reviews say?

5 questions · 5 findings · 5 reviews · Pregnancy and Childbirth

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No studies found 0 · 0%GRADE not reported 1 · 20%Very low 0 · 0%Low 3 · 60%Moderate 1 · 20%High 0 · 0%

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

Perinatal mortality · Children (as neonate, child, adult) of women with GDM

1 finding from 1 review

Different intensities of glycaemic control for women with gestational diabetes mellitus 2023 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 1499 participants
Low

Probiotics vs placebo

Perinatal mortality · women with gestational diabetes mellitus

1 finding from 1 review

Probiotic treatment for women with gestational diabetes to improve maternal and infant health and well‐being 2020 · Cochrane Headline outcomes only
no estimate extracted
0 studies · 0 participants
GRADE not reported

Lifestyle vs control ‐ Neonatal and later outcomes

Perinatal (fetal and neonatal death) and later infant mortality · women with gestational diabetes mellitus

Lifestyle showed no clear difference in perinatal (fetal and neonatal death) and later infant mortality compared with control ‐ Neonatal and later outcomes (low certainty).

1 finding from 1 review

Lifestyle interventions for the treatment of women with gestational diabetes 2017 · Cochrane Headline outcomes only
RR 0.09 [0.01, 1.7]
2 studies · 1988 participants
Low

Insulin vs anti‐diabetic agent

Perinatal (fetal and neonatal death) and later infant mortality · Infants of women diagnosed with gestational diabetes

Insulin showed no clear difference in perinatal (fetal and neonatal death) and later infant mortality compared with anti‐diabetic agent (low certainty).

1 finding from 1 review

Insulin for the treatment of women with gestational diabetes 2017 · Cochrane Headline outcomes only
RR 0.85 [0.29, 2.49]
10 studies · 1463 participants
Low

Admission cardiotocography vs intermittent auscultation

Perinatal mortality rate (fetal and neonatal deaths excluding lethal congenital anomalies) · Low risk pregnant women. All of the women were in labour.

Admission cardiotocography showed no clear difference in perinatal mortality rate (fetal and neonatal deaths excluding lethal… compared with intermittent auscultation (low‐risk women) (moderate certainty).

1 finding from 1 review

Cardiotocography versus intermittent auscultation of fetal heart on admission to labour ward for assessment of fetal… 2017 · Cochrane Headline outcomes only
RR 1.01 [0.3, 3.47]
4 studies · 11339 participants
Moderate