Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

331 questions · 336 findings · 74 reviews · Pregnancy and Childbirth

No studies found 102 · 30.4%GRADE not reported 30 · 8.9%Very low 76 · 22.6%Low 92 · 27.4%Moderate 31 · 9.2%High 5 · 1.5%

Intermittent ausculation of fetal heart rate in labour for fetal well‐being ‐ Intensive Pinard vs routine Pinard (outcomes

Instrumental vaginal birth · women in established labour and their babies.

Intermittent ausculation of fetal heart rate in labour for fetal… showed no clear difference in instrumental vaginal birth compared with routine Pinard (outcomes (low certainty).

1 finding from 1 review

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

Admission to neonatal special care unit or intensive care unit · childbearing women and their infants (all) (important/secondary outcomes)

Summary of findings table ‐ Midwife continuity models showed no clear difference in admission to special care nursery/neonatal intensive care unit compared with other models of care (moderate certainty).

1 finding from 1 review

Balloon (Foley or ATAD) vs vaginal prostaglandin E2

Admission to neonatal intensive care unit · third trimester induction of labour in women with a viable fetus

Balloon (Foley or ATAD) showed no clear difference in neonatal intensive care unit admission compared with vaginal prostaglandin E2 (low certainty).

1 finding from 1 review

Routine vaginal examination vs routine rectal examination

Admission to neonatal intensive care unit · pregnant women in labour at term

It is very uncertain whether routine vaginal examination changes admission to neonatal intensive care unit№ of participants: 307(1 RCT) compared with routine rectal examination (very low certainty).

1 finding from 1 review

Lateral postures vs other postures

Serious neonatal morbidity (composite outcome defined as death, admission to neonatal intensive care, neonatal encephalopathy, or as defined by trialists) · fetal malposition in labour

It is very uncertain whether lateral postures changes serious neonatal morbidity (composite outcome defined as death,… compared with other postures (very low certainty).

1 finding from 1 review

Probiotics vs placebo

Hypertensive disorders of pregnancy: pre‐eclampsia · preventing gestational diabetes

Probiotics leads to higher hypertensive disorders of pregnancy (pre‐eclampsia) compared with placebo (high certainty).

1 finding from 1 review