Findings

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Evidence found and GRADE certainty

206 questions · 209 findings · 20 reviews · Pregnancy and Childbirth

No studies found 44 · 21.1%GRADE not reported 13 · 6.2%Very low 49 · 23.4%Low 55 · 26.3%Moderate 40 · 19.1%High 8 · 3.8%

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Non‐initiation of breastfeeding · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

The review found no eligible studies for this question.

1 finding from 1 review

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Exclusive breastfeeding at 4‐6 weeks · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

It is very uncertain whether physical breastfeeding support interventions (electric or manual… changes exclusive breastfeeding at 4‐6 weeks compared with usual care (no pump) (very low certainty).

1 finding from 1 review

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Breastfeeding · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

It is very uncertain whether physical breastfeeding support interventions (electric or manual… changes any breastfeeding at 4‐6 weeks compared with usual care (no pump) (very low certainty).

2 findings from 1 review

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Exclusive breastfeeding at 6 months · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

The review found no eligible studies for this question.

1 finding from 1 review

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

Severe perineal/vaginal trauma · Women in labour where operative delivery was not anticipated. (Women were above 16 years old and between 28 gestational weeks and full…

Selective may leads to lower severe perineal/vaginal trauma compared with routine episiotomy: all vaginal births where operative vaginal… (low certainty).

1 finding from 1 review

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

Perineal infection · 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 perineal infection compared with routine episiotomy: all vaginal births where operative vaginal… (low certainty).

1 finding from 1 review

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

Women with moderate or severe pain (measured by visual analogue scale) · Women in labour where operative delivery was not anticipated. (Women were above 16 years old and between 28 gestational weeks and full…

It is very uncertain whether selective changes women with moderate or severe pain (measured by visual analogue scale) compared with routine episiotomy: all vaginal births where operative vaginal… (very low certainty).

1 finding from 1 review

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

Manual fundal pressure vs no fundal pressure

No spontaneous vaginal birth within a specified time · women with singleton pregnancy in vertex position in second stage of labour

It is very uncertain whether manual fundal pressure changes no spontaneous vaginal birth within a specified time, as defined by… compared with no fundal pressure (very low certainty).

1 finding from 1 review

Fundal pressure by inflatable belt vs no fundal pressure

Apgar score less than 7 at 5 minutes · women with singleton pregnancy in vertex position in second stage of labour

It is very uncertain whether fundal pressure by inflatable belt changes apgar score less than 7 after 5 minutes compared with no fundal pressure (very low certainty).

1 finding from 1 review

Manual fundal pressure vs no fundal pressure

Operative birth (caesarean or instrumental vaginal) · women with singleton pregnancy in vertex position in second stage of labour

It is very uncertain whether manual fundal pressure changes operative birth ‐ Instrumental or caesarean birth compared with no fundal pressure (very low certainty).

1 finding from 1 review

Manual fundal pressure vs no fundal pressure

Apgar score less than 7 at 5 minutes · women with singleton pregnancy in vertex position in second stage of labour

It is very uncertain whether manual fundal pressure changes APGAR score less than 7 at 5 minutes compared with no fundal pressure (very low certainty).

1 finding from 1 review