Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

4,760 questions · 8,065 findings · 1,036 reviews

No studies found 1,686 · 20.9%GRADE not reported 675 · 8.4%Very low 1,953 · 24.2%Low 2,048 · 25.4%Moderate 1,296 · 16.1%High 407 · 5%

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Intervention not reported

Cohort studies ‐ autism risk (low), MMR · children 9 months to 15 years old

The intervention showed no clear difference in cohort studies ‐ autism risk (low), MMR (moderate certainty).

1 finding from 1 review

Soft cup vs rigid cup

Low Apgar score · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup showed no clear difference in low Apgar score at 5 minutes (less than 7 or as defined by trial… compared with rigid cup (low certainty).

1 finding from 1 review

Soft cup vs rigid cup

Low umbilical artery pH (< 7.2 or as defined by trial authors) · Women in the second stage of labour, requiring an assisted vaginal birth

Soft cup showed no clear difference in low umbilical artery pH (< 7.2 or as defined by trial authors) compared with rigid cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Low Apgar score · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in low Apgar score at 5 minutes (< 7 or as defined by trial authors) compared with any vacuum cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Low umbilical artery pH (< 7.2 or as defined by trial authors) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in low umbilical artery pH (< 7.2 or as defined by trial authors) compared with any vacuum cup (low certainty).

1 finding from 1 review

Any type of forceps vs any vacuum cup

Low Apgar score · Women in the second stage of labour, requiring an assisted vaginal birth

Any type of forceps showed no clear difference in low Apgar score at 5 minutes (< 7 or as defined by trial authors) compared with any type of vacuum cup (moderate certainty).

1 finding from 1 review

Any type of forceps vs any vacuum cup

Low umbilical artery pH (< 7.2 or as defined by trial authors) · Women in the second stage of labour, requiring an assisted vaginal birth

Any type of forceps showed no clear difference in low umbilical artery pH (< 7.2 or as defined by trial authors) compared with any type of vacuum cup (low certainty).

1 finding from 1 review