Gap finder

Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

3,601 questions in 252 reviews · Pregnancy and Childbirth

current versions
No studies 726 · 20.2%Ungraded 421 · 11.7%Very low 828 · 23%Low 993 · 27.6%Moderate 486 · 13.5%High 147 · 4.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Hands off (or poised) vs hands on
Perineal trauma requiring suturing · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Ritgen's manoeuvre vs standard care
Perineal trauma requiring suturing · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Ritgen's manoeuvre vs standard care
1st degree tear · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 0.32 [0.14, 0.69]1 study · 66 participantsVery low
Ritgen's manoeuvre vs standard care
2nd degree tear · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 3.25 [1.73, 6.09]1 study · 66 participantsVery low
Ritgen's manoeuvre vs standard care
3rd or 4th degree tears · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 1.24 [0.78, 1.96]1 study · 1423 participantsLow
Ritgen's manoeuvre vs standard care
Episiotomy · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 0.81 [0.63, 1.03]2 studies · 1489 participantsLow
Hands off (or poised) vs hands on
1st degree tear · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 1.32 [0.99, 1.77]2 studies · 700 participantsLow
Hands off (or poised) vs hands on
2nd degree tear · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 0.77 [0.47, 1.28]2 studies · 700 participantsLow
Hands off (or poised) vs hands on
3rd or 4th degree tears · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 0.68 [0.21, 2.26]5 studies · 7317 participantsVery low
Hands off (or poised) vs hands on
Episiotomy · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 0.58 [0.43, 0.79]4 studies · 7247 participantsLow
Warm compresses vs control (hands off or no warm compress)
Intact perineum · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 1.02 [0.85, 1.21]4 studies · 1799 participantsModerate
Warm compresses vs control (hands off or no warm compress)
Perineal trauma requiring suturing · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 1.14 [0.79, 1.66]1 study · 76 participantsVery low
Warm compresses vs control (hands off or no warm compress)
1st degree tear · pregnant women expecting a vaginal birth, singleton vertex presentation at term, with no medical complications
Perineal techniques during the second stage of labour for reducing perineal trauma (2017) · Cochrane
RR 1.19 [0.38, 3.79]2 studies · 274 participantsVery low
Dietary advice interventions vs standard care (maternal outcomes)
Gestational diabetes · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 0.6 [0.35, 1.04]5 studies · 1279 participantsVery low
Dietary advice interventions vs standard care (child outcomes)
Mortality or morbidity composite outcome · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Dietary advice interventions vs standard care (child outcomes)
Neonatal hypoglycaemia · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Dietary advice interventions vs standard care (child outcomes)
Childhood/adulthood adiposity: skinfold thickness at 6 months (mm) · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted1 study · 132 participantsLow
Dietary advice interventions vs standard care (child outcomes)
Chilhood/adulthood type 2 diabetes mellitus · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Dietary advice interventions vs standard care (child outcomes)
Childhood/adulthood neurosensory disability · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes)
Gestational diabetes · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 0.91 [0.63, 1.31]4 studies · 912 participantsLow
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes)
Hypertensive disorders of pregnancy · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes)
Caesarean birth · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 1.27 [0.79, 2.04]2 studies · 201 participantsVery low
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes)
Perineal trauma · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes)
Gestational weight gain (kg) · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted4 studies · 787 participantsVery low
Dietary advice interventions vs standard care (maternal outcomes)
Hypertensive disorders of pregnancy (pregnancy‐induced hypertension) · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 0.3 [0.1, 0.88]2 studies · 282 participantsLow
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes)
Postnatal depression · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (maternal outcomes)
Type 2 diabetes mellitus · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes)
Perinatal mortality · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes)
Large‐for‐gestational age · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 0.6 [0.19, 1.86]3 studies · 777 participantsVery low
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes)
Mortality or morbidity composite outcome · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes)
Neonatal hypoglycaemia · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes)
Childhood/adulthood adiposity · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes)
Chilhood/adulthood type 2 diabetes mellitus · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Low‐GI dietary advice vs moderate‐ to high‐GI dietary advice (child outcomes)
Childhood/adulthood neurosensory disability · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Dietary advice interventions vs standard care (maternal outcomes)
Hypertensive disorders of pregnancy (pre‐eclampsia) · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 0.61 [0.25, 1.46]2 studies · 282 participantsLow
Dietary advice interventions vs standard care (maternal outcomes)
Caesarean section · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 0.98 [0.78, 1.24]4 studies · 1194 participantsLow
Dietary advice interventions vs standard care (maternal outcomes)
Perineal trauma (anal sphincter injury) · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
RR 0.83 [0.23, 3.08]1 study · 759 participantsVery low
Dietary advice interventions vs standard care (maternal outcomes)
Gestational weight gain (kg) · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted5 studies · 1336 participantsLow
Dietary advice interventions vs standard care (maternal outcomes)
Postnatal depression · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Dietary advice interventions vs standard care (child outcomes)
Perinatal mortality · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted1 study · 159 participantsVery low
Dietary advice interventions vs standard care (child outcomes)
Large‐for‐gestational age · pregnant women
Dietary advice interventions in pregnancy for preventing gestational diabetes mellitus (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
75 g OGTT vs 100 g OGTT
Diagnosis of gestational diabetes · pregnant women at low or high risk of gestational diabetes
Different strategies for diagnosing gestational diabetes to improve maternal and infant health (2017) · Cochrane
RR 2.55 [0.96, 6.75]1 study · 248 participantsVery low
75 g OGTT vs 100 g OGTT
Caesarean section · pregnant women at low or high risk of gestational diabetes
Different strategies for diagnosing gestational diabetes to improve maternal and infant health (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
75 g OGTT vs 100 g OGTT
Macrosomia > 4.5 kg or as defined in trial · pregnant women at low or high risk of gestational diabetes
Different strategies for diagnosing gestational diabetes to improve maternal and infant health (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
75 g OGTT vs 100 g OGTT
Long‐term type 2 diabetes maternal · pregnant women at low or high risk of gestational diabetes
Different strategies for diagnosing gestational diabetes to improve maternal and infant health (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
75 g OGTT vs 100 g OGTT
Long‐term type 2 diabetes infant · pregnant women at low or high risk of gestational diabetes
Different strategies for diagnosing gestational diabetes to improve maternal and infant health (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
75 g OGTT vs 100 g OGTT
Economic costs · pregnant women at low or high risk of gestational diabetes
Different strategies for diagnosing gestational diabetes to improve maternal and infant health (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Universal screening vs risk‐factor screening
Gestational diabetes mellitus · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes…
Screening for gestational diabetes mellitus based on different risk profiles and settings for improving… (2017) · Cochrane
RR 1.85 [1.12, 3.04]1 study · 3152 participantsLow
Universal screening vs risk‐factor screening
Mortality or morbidity composite · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes…
Screening for gestational diabetes mellitus based on different risk profiles and settings for improving… (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded
Universal screening vs risk‐factor screening
Hypoglycaemia · pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes…
Screening for gestational diabetes mellitus based on different risk profiles and settings for improving… (2017) · Cochrane
no estimate extracted0 studies · 0 participantsUngraded