Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

472 questions · 500 findings · 31 reviews · Pregnancy and Childbirth

No studies found 126 · 25.2%GRADE not reported 48 · 9.6%Very low 105 · 21%Low 135 · 27%Moderate 63 · 12.6%High 23 · 4.6%

Laxative plus bulking agent vs laxative alone

Adverse effects on women: faecal incontinence during first 10 postpartum days · postpartum women who underwent surgical repair of third degree perineal tears

It is very uncertain whether laxative plus bulking agent changes adverse effects on women: faecal incontinence during first 10… compared with laxative alone (very low certainty).

1 finding from 1 review

Laxative vs placebo

Time to first BM (№ women with 1st BM on day 1 after delivery) · women in the postpartum period

Laxative may leads to higher time to first bowel movement (BM) (№ women with 1st BM less than 24… compared with placebo (low certainty).

2 findings from 1 review

Laxative vs placebo

Time to first BM (№ women with 1st BM on day 2 after delivery) · women in the postpartum period

Laxative may leads to lower time to first BM (№ women with 1st BM on day 2 after delivery) compared with placebo (low certainty).

3 findings from 1 review

Laxative vs placebo

Adverse effects on women: abdominal cramps · women in the postpartum period

Laxative may leads to higher adverse effects on women: abdominal cramps compared with placebo (low certainty).

1 finding from 1 review

External uterine compression (all methods) plus normal care vs normal care

Mortality due to bleeding ‐ not reported · women diagnosed with primary PPH following vaginal birth. PPH was defined as quote: "blood loss > 500mL after delivery" p 601

The review found no eligible studies for this question.

1 finding from 1 review

One uterine devascularisation technique (uterine arterial embolisation) vs another uterine devascularisation technique (surgical devascularisation plus B‐Lynch)

Serious maternal morbidity (renal or respiratory failure, cardiac arrest or multiple organ failure) · treating primary postpartum haemorrhage

The review found no eligible studies for this question.

1 finding from 1 review

One uterine devascularisation technique (uterine arterial embolisation) vs another uterine devascularisation technique (surgical devascularisation plus B‐Lynch)

Number of women with total blood loss 1000 mL or more after randomisation · treating primary postpartum haemorrhage

The review found no eligible studies for this question.

1 finding from 1 review

One uterine devascularisation technique (uterine arterial embolisation) vs another uterine devascularisation technique (surgical devascularisation plus B‐Lynch)

Blood transfusion (red cell or whole blood) · treating primary postpartum haemorrhage

The review found no eligible studies for this question.

1 finding from 1 review

One uterine devascularisation technique (uterine arterial embolisation) vs another uterine devascularisation technique (surgical devascularisation plus B‐Lynch)

Side effects of the intervention (e.g. trauma, necrosis) · treating primary postpartum haemorrhage

It is very uncertain whether one uterine devascularisation technique (uterine arterial… changes side effects of the intervention (e.g. trauma, necrosis) compared with another uterine devascularisation technique (surgical… (very low certainty).

1 finding from 1 review

Intrauterine balloon tamponade plus normal care (misoprostol) vs normal care (misoprostol)

Mortality due to bleeding · women diagnosed with primary PPH following vaginal birth. Women were suspected to have PPH due to clinical atony and who were quote:…

It is very uncertain whether intrauterine balloon tamponade plus normal care (misoprostol) changes mortality due to bleeding compared with normal care (misoprostol) (very low certainty).

1 finding from 1 review

Intrauterine balloon tamponade plus normal care (misoprostol) vs normal care (misoprostol)

Hysterectomy to control bleeding · women diagnosed with primary PPH following vaginal birth. Women were suspected to have PPH due to clinical atony and who were quote:…

It is very uncertain whether intrauterine balloon tamponade plus normal care (misoprostol) changes hysterectomy to control bleeding compared with normal care (misoprostol) (very low certainty).

1 finding from 1 review

Intrauterine balloon tamponade plus normal care (misoprostol) vs normal care (misoprostol)

Serious maternal morbidity (renal or respiratory failure, cardiac arrest or multiple organ failure) · women diagnosed with primary PPH following vaginal birth. Women were suspected to have PPH due to clinical atony and who were quote:…

The review found no eligible studies for this question.

1 finding from 1 review