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Evidence found and GRADE certainty

199 questions · 201 findings · 12 reviews · Pregnancy and Childbirth

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No studies found 55 · 27.4%GRADE not reported 8 · 4%Very low 29 · 14.4%Low 57 · 28.4%Moderate 47 · 23.4%High 5 · 2.5%

Summary of findings for subcutaneous terbutaline vs no tocolytic agent, whilst awaiting emergency delivery

Abnormal FHR tracing · women in labour with signs of fetal distress and a fetal scalp pH < 7.25, for whom the decision had been made for emergency delivery

Summary of findings for subcutaneous terbutaline probably leads to lower abnormal FHR tracing compared with no tocolytic agent, whilst awaiting emergency delivery (moderate certainty).

1 finding from 1 review

Summary of findings for subcutaneous terbutaline vs no tocolytic agent, whilst awaiting emergency delivery

No improvement in FHR · women in labour with signs of fetal distress and a fetal scalp pH < 7.25, for whom the decision had been made for emergency delivery

Summary of findings for subcutaneous terbutaline probably leads to lower no improvement in FHR compared with no tocolytic agent, whilst awaiting emergency delivery (moderate certainty).

1 finding from 1 review

Summary of findings table ‐ Planned hospital birth vs Planned home birth

Baby not breastfed · Pregnant women at low risk of complications

It is very uncertain whether summary of findings table ‐ Planned hospital birth changes baby not breastfed compared with planned home birth (very low certainty).

1 finding from 1 review

Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1)

Maternal death · nipple stimulation (suckling) for preventing postpartum haemorrhage in the third stage of labour.

It is very uncertain whether summary of findings ‐ Nipple stimulation (suckling) changes maternal death compared with no treatment (comparison 1) (very low certainty).

1 finding from 1 review

Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1)

Frequency of PPH ≥ 500 mL · nipple stimulation (suckling) for preventing postpartum haemorrhage in the third stage of labour.

Summary of findings ‐ Nipple stimulation (suckling) showed no clear difference in frequency of PPH ≥ 500 mL compared with no treatment (comparison 1) (moderate certainty).

1 finding from 1 review

Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1)

Retained placenta · nipple stimulation (suckling) for preventing postpartum haemorrhage in the third stage of labour.

It is very uncertain whether summary of findings ‐ Nipple stimulation (suckling) changes retained placenta compared with no treatment (comparison 1) (very low certainty).

1 finding from 1 review

Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1)

Perinatal mortality · nipple stimulation (suckling) for preventing postpartum haemorrhage in the third stage of labour.

Summary of findings ‐ Nipple stimulation (suckling) showed no clear difference in perinatal death compared with no treatment (comparison 1) (low certainty).

1 finding from 1 review

Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1)

Maternal admission to hospital · nipple stimulation (suckling) for preventing postpartum haemorrhage in the third stage of labour.

It is very uncertain whether summary of findings ‐ Nipple stimulation (suckling) changes maternal admission to hospital compared with no treatment (comparison 1) (very low certainty).

1 finding from 1 review

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

Induction of labour · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity models showed no clear difference in induction of labour compared with other models of care (low certainty).

1 finding from 1 review

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

Instrumental vaginal birth · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity models probably leads to lower instrumental vaginal birth (forceps/vacuum) compared with other models of care (moderate certainty).

1 finding from 1 review

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

Episiotomy · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity models may leads to lower episiotomy compared with other models of care (low certainty).

1 finding from 1 review

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

Third‐ or fourth‐degree perineal tear (with or without episiotomy) · childbearing women and their infants (all) (important/secondary outcomes)

It is very uncertain whether summary of findings table ‐ Midwife continuity models changes third or fourth degree tear compared with other models of care (very low certainty).

1 finding from 1 review

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

Postpartum haemorrhage · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity models showed no clear difference in postpartum haemorrhage (as defined by trial authors) compared with other models of care (moderate certainty).

1 finding from 1 review