Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

271 questions · 277 findings · 30 reviews · Headline outcomes only

No studies found 31 · 11.2%GRADE not reported 10 · 3.6%Very low 93 · 33.6%Low 64 · 23.1%Moderate 65 · 23.5%High 14 · 5.1%

Antibiotic prophylaxis vs no treatment

Infection rate at 2 weeks postpartum ‐ perineal wound infection in third‐ or fourth‐degree tear · Women with third‐ and fourth‐degree perineal tear during vaginal birth

Antibiotic prophylaxis probably leads to lower infection rate at 2 weeks postpartum ‐ perineal wound infection in… compared with no treatment (moderate certainty).

1 finding from 1 review

Antibiotic prophylaxis vs no treatment

Infection rate at 6 weeks postpartum ‐ perineal wound infection in third‐ or fourth‐degree tear · Women with third‐ and fourth‐degree perineal tear during vaginal birth

Antibiotic prophylaxis showed no clear difference in infection rate at 6 weeks postpartum ‐ perineal wound infection in… compared with no treatment (low certainty).

1 finding from 1 review

Antibiotic prophylaxis vs no treatment or placebo

Wound infection (episiotomy dehiscence) · Women who had normal vaginal births

It is very uncertain whether routine antibiotic prophylaxis changes wound infection (episiotomy dehiscence) compared with no treatment or placebo (very low certainty).

1 finding from 1 review