Findings

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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%

External cephalic version (ECV) commenced before term vs ECV at term

Cephalic vaginal birth not achieved (CS + breech vaginal birth) (primary) · women with breech presentation before term

External cephalic version (ECV) commenced before term leads to lower vaginal cephalic birth not achieved (caesarean section + vaginal… compared with ECV at term (high certainty).

1 finding from 1 review

External cephalic version (ECV) commenced before term vs ECV at term

Death of a baby (stillbirth or neonatal death) report of perinatal death · women with breech presentation before term

External cephalic version (ECV) commenced before term showed no clear difference in perinatal mortality (Stillbirth or neonatal mortality < 7 days) compared with ECV at term (low certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Caesarean section ‐ ST analysis · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in caesarean section ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Cord pH less than 7.05 and base deficit greater than 12 mmol/L ‐ ST analysis · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in cord pH less than 7.05 and base deficit greater than 12 mmol/L ‐ ST… compared with CTG alone (moderate certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Neonatal encephalopathy ‐ ST analysis · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in neonatal encephalopathy ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Fetal blood sampling ‐ ST analysis · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… leads to lower fetal blood sampling ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Instrumental vaginal birth · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… leads to lower operative vaginal delivery ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Neonatal admission to special care · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in admission to neonatal special care unit ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Any perinatal death after randomisation · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in perinatal death ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Intervention not reported

Perinatal/neonatal death or severe neonatal morbidity ‐ Low national perinatal mortality rate · women with term breech delivery

The intervention probably leads to lower perinatal/neonatal death or severe neonatal morbidity ‐ Low national… (moderate certainty).

1 finding from 1 review

Intervention not reported

Perinatal/neonatal death or severe neonatal morbidity ‐ High national perinatal mortality rate · women with term breech delivery

The intervention showed no clear difference in perinatal/neonatal death or severe neonatal morbidity ‐ High… (low certainty).

1 finding from 1 review

Intervention not reported

Birth trauma, as defined by trial authors · women with term breech delivery

The intervention showed no clear difference in birth trauma, as defined by trial authors (low certainty).

1 finding from 1 review

Intervention not reported

Death or neurodevelopmental delay at age 2 years · women with term breech delivery

The intervention showed no clear difference in death or neurodevelopmental delay at age 2 years (low certainty).

1 finding from 1 review

Intervention not reported

Caesarean section · women with term breech delivery

The intervention may leads to higher caesarean section (low certainty).

1 finding from 1 review

Intervention not reported

Short‐term maternal morbidity · women with term breech delivery

The intervention may leads to higher short‐term maternal morbidity (low certainty).

1 finding from 1 review

Intervention not reported

Any pain after at 3 months · women with term breech delivery

The intervention showed no clear difference in any pain after at 3 months (low certainty).

1 finding from 1 review