Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

460 questions · 464 findings · 50 reviews · Pregnancy and Childbirth

No studies found 103 · 22.2%GRADE not reported 61 · 13.1%Very low 120 · 25.9%Low 112 · 24.1%Moderate 59 · 12.7%High 9 · 1.9%

Betamethasone 12‐hourly vs 24‐hourly dosing – fetal/neonatal outcomes

Any known death after randomisation (fetal, neonatal, child, child as adult) · women at risk of preterm birth

It is very uncertain whether betamethasone 12‐hourly changes any known death after randomisation (fetal, neonatal, child, child… compared with 24‐hourly dosing – fetal/neonatal outcomes (very low certainty).

1 finding from 1 review

Betamethasone 12‐hourly vs 24‐hourly dosing – fetal/neonatal outcomes

Respiratory distress syndrome · women at risk of preterm birth

It is very uncertain whether betamethasone 12‐hourly changes respiratory distress syndrome compared with 24‐hourly dosing – fetal/neonatal outcomes (very low certainty).

1 finding from 1 review

Betamethasone 12‐hourly vs 24‐hourly dosing – fetal/neonatal outcomes

Intraventricular haemorrhage · women at risk of preterm birth

It is very uncertain whether betamethasone 12‐hourly changes intraventricular haemorrhage compared with 24‐hourly dosing – fetal/neonatal outcomes (very low certainty).

1 finding from 1 review

Betamethasone 12‐hourly vs 24‐hourly dosing – fetal/neonatal outcomes

Chronic lung disease · women at risk of preterm birth

It is very uncertain whether betamethasone 12‐hourly changes chronic lung disease compared with 24‐hourly dosing – fetal/neonatal outcomes (very low certainty).

1 finding from 1 review

Betamethasone 12‐hourly vs 24‐hourly dosing – fetal/neonatal outcomes

Necrotising enterocolitis · women at risk of preterm birth

It is very uncertain whether betamethasone 12‐hourly changes necrotising enterocolitis compared with 24‐hourly dosing – fetal/neonatal outcomes (very low certainty).

1 finding from 1 review

Fetal growth (biometry) + umbilical artery Doppler vs fetal growth

Any perinatal death after randomisation · women with twin pregnancies were randomised from 25 weeks

Fetal growth (biometry) + umbilical artery Doppler showed no clear difference in perinatal mortality (after randomisation) compared with fetal growth (low certainty).

1 finding from 1 review

Fetal growth (biometry) + umbilical artery Doppler vs fetal growth

Gestational age at birth (weeks) · women with twin pregnancies were randomised from 25 weeks

Fetal growth (biometry) + umbilical artery Doppler showed no clear difference in gestational age at birth (weeks) compared with fetal growth (moderate certainty).

1 finding from 1 review

Fetal growth (biometry) + umbilical artery Doppler vs fetal growth

Number of antenatal hospital admissions · women with twin pregnancies were randomised from 25 weeks

Fetal growth (biometry) + umbilical artery Doppler showed no clear difference in antenatal admission to hospital compared with fetal growth (high certainty).

1 finding from 1 review

Betamethasone vs usual care

Respiratory distress syndrome · women undergoing planned elective caesarean section at 37 weeks' gestation and beyond for singleton pregnancy

Effect of antenatal corticosteroids (betamethasone) showed no clear difference in respiratory distress syndrome (RDS) compared with usual care prior to planned caesarean at term on maternal and… (low certainty).

1 finding from 1 review