Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

234 questions · 236 findings · 33 reviews · Pregnancy and Childbirth

No studies found 20 · 8.5%GRADE not reported 12 · 5.1%Very low 63 · 26.7%Low 82 · 34.7%Moderate 40 · 16.9%High 19 · 8.1%

Planned early birth vs expectant management

Admission to neonatal intensive care unit · preterm prelabour rupture of membranes (PPROM)

Planned early birth probably leads to higher admission to neonatal intensive care compared with expectant management (moderate certainty).

1 finding from 1 review

Planned early birth vs expectant management

Length of maternal hospital stay (days) · preterm prelabour rupture of membranes (PPROM)

Planned early birth showed no clear difference in length of hospital stay (maternal) compared with expectant management (moderate certainty).

1 finding from 1 review

Planned early birth vs expectant management

Maternal infectious morbidity (chorioamnionitis and/or endometritis) · women with prelabour rupture of membranes at term (37 weeks' gestation or later)

Planned early birth may leads to lower maternal infectious morbidity (chorioamnionitis and/or endometritis) compared with expectant management (low certainty).

1 finding from 1 review

Planned early birth vs expectant management

Perinatal mortality · women with prelabour rupture of membranes at term (37 weeks' gestation or later)

Planned early birth showed no clear difference in perinatal mortality (stillbirth or neonatal mortality) compared with expectant management (moderate certainty).

1 finding from 1 review

Planned early birth vs expectant management

Maternal mortality or morbidity · pregnant women with hypertensive disorders from 34 weeks' gestation to term

Planned early delivery leads to lower composite maternal mortality and morbidity compared with expectant management (high certainty).

1 finding from 1 review

Planned early birth vs expectant management

Perinatal mortality (stillbirth ‐ death of fetus prior to birth; neonatal death ‐ death within the first 28 days of birth; or infant death ‐ death after the first 28 days) · pregnant women with a term suspected compromised baby
1 finding from 1 review

Planned early birth vs expectant management

Major neonatal morbidity · pregnant women with a term suspected compromised baby

Planned early delivery showed no clear difference in major neonatal morbidity one or more of the following: hypoxic… compared with expectant management (low certainty).

1 finding from 1 review

Planned early birth vs expectant management

Neurodevelopmental disability · pregnant women with a term suspected compromised baby

Planned early delivery showed no clear difference in neurodevelopmental disability/impairment CBCL, Ages and Stages… compared with expectant management (low certainty).

1 finding from 1 review