Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

460 questions · 464 findings · 50 reviews · Pregnancy and Childbirth

No studies found 103 · 22.2%GRADE not reported 61 · 13.1%Very low 120 · 25.9%Low 112 · 24.1%Moderate 59 · 12.7%High 9 · 1.9%

Balloon (Foley or ATAD) vs vaginal prostaglandin E2

Admission to neonatal intensive care unit · third trimester induction of labour in women with a viable fetus

Balloon (Foley or ATAD) showed no clear difference in neonatal intensive care unit admission compared with vaginal prostaglandin E2 (low certainty).

1 finding from 1 review

Balloon (Foley or ATAD) vs low‐dose vaginal misoprostol

Uterine hyperstimulation with fetal heart rate changes · third trimester induction of labour in women with a viable fetus

Balloon (Foley or ATAD) probably leads to lower uterine hyperstimulation with FHR changes compared with low‐dose vaginal misoprostol (moderate certainty).

1 finding from 1 review

Routine vaginal examination vs routine rectal examination

Spontaneous vaginal birth · pregnant women in labour at term

It is very uncertain whether routine vaginal examination changes spontaneous vaginal birth (primary outcome)№ of participants: 307(1… compared with routine rectal examination (very low certainty).

1 finding from 1 review

Routine vaginal examination vs routine rectal examination

Neonatal infection · pregnant women in labour at term

It is very uncertain whether routine vaginal examination changes neonatal infection (primary outcome)№ of participants: 307(1 RCT) compared with routine rectal examination (very low certainty).

1 finding from 1 review

Routine vaginal examination vs routine rectal examination

Admission to neonatal intensive care unit · pregnant women in labour at term

It is very uncertain whether routine vaginal examination changes admission to neonatal intensive care unit№ of participants: 307(1 RCT) compared with routine rectal examination (very low certainty).

1 finding from 1 review

Routine 4‐hourly vaginal examinations vs routine 2‐hourly vaginal examinations

Augmentation of labour (primary outcome)№ of participants: (0 studies) · primiparous pregnant women in labour at term

It is very uncertain whether routine 4‐hourly vaginal examinations changes augmentation of labour (primary outcome)№ of participants: 109(1 RCT) compared with routine 2‐hourly vaginal examinations (very low certainty).

1 finding from 1 review

Routine 4‐hourly vaginal examinations vs routine 2‐hourly vaginal examinations

Spontaneous vaginal birth · primiparous pregnant women in labour at term

It is very uncertain whether routine 4‐hourly vaginal examinations changes spontaneous vaginal birth (primary outcome)№ of participants: 150(1… compared with routine 2‐hourly vaginal examinations (very low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Augmentation of labour (primary outcome)№ of participants: (0 studies) · primiparous pregnant women in labour at term

Routine vaginal examinations may leads to higher augmentation of labour (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review