Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

36 questions · 36 findings · 23 reviews

No studies found 11 · 30.6%GRADE not reported 13 · 36.1%Very low 5 · 13.9%Low 4 · 11.1%Moderate 3 · 8.3%High 0 · 0%

Massage vs control (hands off or care

Perineal trauma requiring suturing · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications

It is very uncertain whether massage changes perineal trauma requiring suturing compared with control (hands off or care (very low certainty).

1 finding from 1 review

Warm compresses vs control (hands off or no warm compress)

Perineal trauma requiring suturing · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications

It is very uncertain whether warm compresses changes perineal trauma requiring suturing compared with control (hands off or no warm compress) (very low certainty).

1 finding from 1 review

Selective vs routine episiotomy: all vaginal births where operative vaginal delivery was not anticipated

Severe perineal/vaginal trauma · Women in labour where operative delivery was not anticipated. (Women were above 16 years old and between 28 gestational weeks and full…

Selective may leads to lower severe perineal/vaginal trauma compared with routine episiotomy: all vaginal births where operative vaginal… (low certainty).

1 finding from 1 review

Labour induction vs expectant management

Severe perineal tears (3rd degree or higher, as defined by trialists) · pregnant women at or beyond 37 weeks gestation

Labour induction showed no clear difference in perineal trauma (severe perineal tear) compared with expectant management (maternal outcomes) (low certainty).

1 finding from 1 review