Findings

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Evidence found and GRADE certainty

4,815 questions · 6,211 findings · 638 reviews · Headline outcomes only

No studies found 1,052 · 16.9%GRADE not reported 441 · 7.1%Very low 1,700 · 27.4%Low 1,651 · 26.6%Moderate 1,070 · 17.2%High 297 · 4.8%

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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

Routine vaginal examination vs vaginal examinations

Spontaneous vaginal birth · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in spontaneous vaginal birth (primary outcome)№ of participants: 204(1… compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Chorioamnionitis · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in chorioamnionitis (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Neonatal infection · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in neonatal infection (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Admission to NICU (primary outcome)№ of participants: 204(1 RCT) · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in admission to NICU (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review