Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

74 questions · 77 findings · 16 reviews · Pregnancy and Childbirth

No studies found 3 · 3.9%GRADE not reported 9 · 11.7%Very low 19 · 24.7%Low 25 · 32.5%Moderate 13 · 16.9%High 8 · 10.4%

Summary of findings table ‐ Midwife continuity models vs other models of care

Regional analgesia (epidural/spinal) · childbearing women and their infants (all) (important/secondary outcomes)

It is very uncertain whether summary of findings table ‐ Midwife continuity of care models changes regional analgesia (epidural/spinal) compared with other models of care (very low certainty).

1 finding from 1 review

Non‐pharmacological interventions for fear of childbirth (tocophobia) vs usual care

Epidural analgesia during labour · women with fear of childbirth (tocophobia)

Non‐pharmacological interventions for fear of childbirth (tocophobia) showed no clear difference in epidural analgesia during labour compared with usual care (low certainty).

1 finding from 1 review

IM pethidine vs placebo

Additional analgesia required (epidural, pethidine and Entonox) · women in labour

IM pethidine may leads to lower additional analgesia required (epidural, pethidine and Entonox) compared with placebo (low certainty).

1 finding from 1 review

Intervention not reported

Maternal satisfaction with analgesia, maternal pain score or pain measured in labour, additional analgesia, epidural

The review found no eligible studies for this question.

1 finding from 1 review

Discontinued intravenous (IV) oxytocin stimulation vs continued IV oxytocin stimulation

Use of analgesia and epidural during labour · pregnant women in latent phase of labour stimulated with oxytocin for with induction of labour. No exclusion criteria were applied in…

Discontinued intravenous (IV) oxytocin stimulation may leads to higher use of analgesia and epidural during labour compared with continued IV oxytocin stimulation (low certainty).

1 finding from 1 review