Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

3,535 questions · 3,601 findings · 252 reviews · Pregnancy and Childbirth

No studies found 726 · 20.2%GRADE not reported 421 · 11.7%Very low 828 · 23%Low 993 · 27.6%Moderate 486 · 13.5%High 147 · 4.1%

Planned early birth vs expectant management

Admission to neonatal intensive care unit · preterm prelabour rupture of membranes (PPROM)

Planned early birth probably leads to higher admission to neonatal intensive care compared with expectant management (moderate certainty).

1 finding from 1 review

Planned early birth vs expectant management

Length of maternal hospital stay (days) · preterm prelabour rupture of membranes (PPROM)

Planned early birth showed no clear difference in length of hospital stay (maternal) compared with expectant management (moderate certainty).

1 finding from 1 review

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

Admission cardiotocography vs intermittent auscultation

Instrumental vaginal birth · Low risk pregnant women. All of the women were in labour.

Admission cardiotocography showed no clear difference in incidence of operative vaginal birth compared with intermittent auscultation (low‐risk women) (low certainty).

1 finding from 1 review

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

Admission cardiotocography vs intermittent auscultation

Incidence of continuous electronic fetal monitoring during labour · Low risk pregnant women. All of the women were in labour.

Admission cardiotocography may leads to higher incidence of continuous electronic fetal monitoring during labour compared with intermittent auscultation (low‐risk women) (low certainty).

1 finding from 1 review

Admission cardiotocography vs intermittent auscultation

Incidence and severity of hypoxic ischaemic encephalopathy (incidence only reported) · Low risk pregnant women. All of the women were in labour.

It is very uncertain whether admission cardiotocography changes incidence and severity of hypoxic ischaemic encephalopathy… compared with intermittent auscultation (low‐risk women) (very low certainty).

1 finding from 1 review

Admission cardiotocography vs intermittent auscultation

Neonatal seizures · Low risk pregnant women. All of the women were in labour.

Admission cardiotocography showed no clear difference in incidence of seizures in the neonatal period compared with intermittent auscultation (low‐risk women) (low certainty).

1 finding from 1 review

Planned early birth vs expectant management

Maternal infectious morbidity (chorioamnionitis and/or endometritis) · women with prelabour rupture of membranes at term (37 weeks' gestation or later)

Planned early birth may leads to lower maternal infectious morbidity (chorioamnionitis and/or endometritis) compared with expectant management (low certainty).

1 finding from 1 review

Planned early birth vs expectant management

Definite early‐onset neonatal sepsis · women with prelabour rupture of membranes at term (37 weeks' gestation or later)

It is very uncertain whether planned early birth changes definite early‐onset neonatal sepsis compared with expectant management (very low certainty).

1 finding from 1 review

Planned early birth vs expectant management

Definite or probable early‐onset neonatal sepsis · women with prelabour rupture of membranes at term (37 weeks' gestation or later)

Planned early birth may leads to lower definite or probable early‐onset neonatal sepsis compared with expectant management (low certainty).

1 finding from 1 review

Planned early birth vs expectant management

Perinatal mortality · women with prelabour rupture of membranes at term (37 weeks' gestation or later)

Planned early birth showed no clear difference in perinatal mortality (stillbirth or neonatal mortality) compared with expectant management (moderate certainty).

1 finding from 1 review