Findings

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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%

Routine vaginal examination vs vaginal examinations

Chorioamnionitis · primiparous pregnant women in labour at term

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

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Neonatal infection · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in neonatal infection (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs vaginal examinations

Admission to NICU (primary outcome)№ of participants: 204(1 RCT) · primiparous pregnant women in labour at term

Routine vaginal examinations showed no clear difference in admission to NICU (primary outcome)№ of participants: 204(1 RCT) compared with vaginal examinations (low certainty).

1 finding from 1 review

Routine vaginal examination vs routine rectal examination

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

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

Betamethasone vs usual care

Transient tachypnoea of the neonate (TTN) · 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 transient tachypnoea of the neonate (TTN) compared with usual care prior to planned caesarean at term on maternal and… (low certainty).

1 finding from 1 review

Betamethasone vs usual care

Admission to neonatal special care (all levels) for respiratory morbidity · women undergoing planned elective caesarean section at 37 weeks' gestation and beyond for singleton pregnancy

Effect of antenatal corticosteroids (betamethasone) probably leads to lower admission to neonatal special care (all levels) for respiratory… compared with usual care prior to planned caesarean at term on maternal and… (moderate certainty).

1 finding from 1 review

Betamethasone vs usual care

Need for mechanical ventilation · women undergoing planned elective caesarean section at 37 weeks' gestation and beyond for singleton pregnancy

It is very uncertain whether effect of antenatal corticosteroids (betamethasone) changes need for mechanical ventilation compared with usual care prior to planned caesarean at term on maternal and… (very low certainty).

1 finding from 1 review