Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

83 questions · 83 findings · 8 reviews · Pregnancy and Childbirth

No studies found 12 · 14.5%GRADE not reported 6 · 7.2%Very low 24 · 28.9%Low 31 · 37.3%Moderate 10 · 12%High 0 · 0%

Selective vs routine episiotomy: all vaginal births where operative vaginal delivery was not anticipated

Women with long‐term dyspareunia (≥ 6 months) · Women in labour where operative delivery was not anticipated. (Women were above 16 years old and between 28 gestational weeks and full…

Selective showed no clear difference in women with long‐term dyspareunia (≥ 6 months) compared with routine episiotomy: all vaginal births where operative vaginal… (moderate certainty).

1 finding from 1 review

Selective vs routine episiotomy: all vaginal births where operative vaginal delivery was not anticipated

Women with long‐term urinary incontinence (≥ 6 months) · Women in labour where operative delivery was not anticipated. (Women were above 16 years old and between 28 gestational weeks and full…

Selective showed no clear difference in women with long‐term urinary incontinence (≥ 6 months) compared with routine episiotomy: all vaginal births where operative vaginal… (low certainty).

1 finding from 1 review

Warm compresses vs control (hands off or no warm compress)

2nd degree tear · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications

It is very uncertain whether warm compresses changes 2nd degree tear compared with control (hands off or no warm compress) (very low certainty).

1 finding from 1 review

Warm compresses vs control (hands off or no warm compress)

3rd or 4th degree tears · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications

Warm compresses probably leads to lower 3rd or 4th degree tears compared with control (hands off or no warm compress) (moderate certainty).

1 finding from 1 review

Warm compresses vs control (hands off or no warm compress)

Episiotomy · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications

Warm compresses showed no clear difference in episiotomy compared with control (hands off or no warm compress) (low certainty).

1 finding from 1 review

Massage vs control (hands off or care

Perineal trauma requiring suturing · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications

It is very uncertain whether massage changes perineal trauma requiring suturing compared with control (hands off or care (very low certainty).

1 finding from 1 review

Massage vs control (hands off or care

1st degree perineal tear · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications

It is very uncertain whether massage changes 1st degree perineal tear compared with control (hands off or care (very low certainty).

1 finding from 1 review