Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

160 questions · 160 findings · 10 reviews · Pregnancy and Childbirth

No studies found 35 · 21.9%GRADE not reported 47 · 29.4%Very low 27 · 16.9%Low 30 · 18.8%Moderate 14 · 8.8%High 7 · 4.4%

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Fetal blood sampling ‐ ST analysis · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… leads to lower fetal blood sampling ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Instrumental vaginal birth · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… leads to lower operative vaginal delivery ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Neonatal admission to special care · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in admission to neonatal special care unit ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography (CTG) vs CTG alone

Any perinatal death after randomisation · Pregnant women (and their fetuses) in labour, with a perceived need for continuous electronic fetal heart rate monitoring

Fetal electrocardiogram (ECG) (ST analysis) plus cardiotocography… showed no clear difference in perinatal death ‐ ST analysis compared with CTG alone (high certainty).

1 finding from 1 review

Summary of findings for IV hexoprenaline vs no tocolytic agent, whilst awaiting emergency delivery

Perinatal death or severe morbidity · women for whom a decision had been made to deliver by caesarean section for suspected fetal distress based on FHR monitoring

The review found no eligible studies for this question.

1 finding from 1 review

Summary of findings for IV hexoprenaline vs no tocolytic agent, whilst awaiting emergency delivery

Fetal or neonatal mortality · women for whom a decision had been made to deliver by caesarean section for suspected fetal distress based on FHR monitoring

Summary of findings for IV hexoprenaline showed no clear difference in fetal or neonatal mortality compared with no tocolytic agent, whilst awaiting emergency delivery (low certainty).

1 finding from 1 review

Summary of findings for IV hexoprenaline vs no tocolytic agent, whilst awaiting emergency delivery

Apgar score less than 7 at 5 minutes · women for whom a decision had been made to deliver by caesarean section for suspected fetal distress based on FHR monitoring

Summary of findings for IV hexoprenaline showed no clear difference in 5‐minute Apgar score < 7 compared with no tocolytic agent, whilst awaiting emergency delivery (low certainty).

1 finding from 1 review

Summary of findings for IV hexoprenaline vs no tocolytic agent, whilst awaiting emergency delivery

Low umbilical artery pH (< 7.2 or as defined by trial authors) · women for whom a decision had been made to deliver by caesarean section for suspected fetal distress based on FHR monitoring

Summary of findings for IV hexoprenaline showed no clear difference in umbilical artery pH < 7.2 compared with no tocolytic agent, whilst awaiting emergency delivery (low certainty).

1 finding from 1 review

Summary of findings for IV hexoprenaline vs no tocolytic agent, whilst awaiting emergency delivery

Abnormal FHR as defined by trial authors (FHR tracing not improved) · women for whom a decision had been made to deliver by caesarean section for suspected fetal distress based on FHR monitoring

Summary of findings for IV hexoprenaline probably leads to lower FHR tracing not improved compared with no tocolytic agent, whilst awaiting emergency delivery (moderate certainty).

1 finding from 1 review

Setting of BP measurement: self‐measurement vs conventional clinic measurement

Preterm birth less than 34 weeks' gestation · pregnant women with chronic or gestational hypertension

Setting of BP measurement: self‐measurement showed no clear difference in preterm birth (birth before 34 completed weeks' gestation) compared with conventional clinic measurement (low certainty).

1 finding from 1 review

Setting of BP measurement: self‐measurement vs conventional clinic measurement

Neonatal unit admission · pregnant women with chronic or gestational hypertension

Setting of BP measurement: self‐measurement showed no clear difference in neonatal unit admission compared with conventional clinic measurement (low certainty).

1 finding from 1 review