Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

2,289 questions · 2,331 findings · 195 reviews · Pregnancy and Childbirth

No studies found 480 · 20.6%GRADE not reported 288 · 12.4%Very low 467 · 20%Low 630 · 27%Moderate 338 · 14.5%High 128 · 5.5%

AFI vs SDVP: summary of findings table

Caesarean delivery for fetal distress · pregnant women to prevent adverse pregnancy outcome

AFI probably leads to higher caesarean delivery for fetal distress compared with SDVP: summary of findings table (moderate certainty).

1 finding from 1 review

Routine vaginal examination vs routine rectal examination

Spontaneous vaginal birth · pregnant women in labour at term

It is very uncertain whether routine vaginal examination changes spontaneous vaginal birth (primary outcome)№ of participants: 307(1… compared with routine rectal examination (very low certainty).

1 finding from 1 review

Routine vaginal examination vs routine rectal examination

Neonatal infection · pregnant women in labour at term

It is very uncertain whether routine vaginal examination changes neonatal infection (primary outcome)№ of participants: 307(1 RCT) compared with routine rectal examination (very 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

Routine 4‐hourly vaginal examinations vs routine 2‐hourly vaginal examinations

Augmentation of labour (primary outcome)№ of participants: (0 studies) · primiparous pregnant women in labour at term

It is very uncertain whether routine 4‐hourly vaginal examinations changes augmentation of labour (primary outcome)№ of participants: 109(1 RCT) compared with routine 2‐hourly vaginal examinations (very low certainty).

1 finding from 1 review

Routine 4‐hourly vaginal examinations vs routine 2‐hourly vaginal examinations

Spontaneous vaginal birth · primiparous pregnant women in labour at term

It is very uncertain whether routine 4‐hourly vaginal examinations changes spontaneous vaginal birth (primary outcome)№ of participants: 150(1… compared with routine 2‐hourly vaginal examinations (very low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Augmentation of labour (primary outcome)№ of participants: (0 studies) · primiparous pregnant women in labour at term

Routine vaginal examinations may leads to higher augmentation of labour (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Spontaneous vaginal birth · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in spontaneous vaginal birth (primary outcome)№ of participants: 204(1… compared with vaginal examinations (low certainty).

1 finding from 1 review