Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

7 questions · 7 findings · 1 reviews

No studies found 0 · 0%GRADE not reported 1 · 14.3%Very low 0 · 0%Low 5 · 71.4%Moderate 1 · 14.3%High 0 · 0%

Handheld vacuum vs any vacuum cup

Failed delivery with allocated instrument (primary) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in failed delivery with allocated instrument (primary) compared with any vacuum cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Any maternal trauma (primary) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in any maternal trauma (primary) compared with any vacuum cup (low certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Third‐ or fourth‐degree perineal tear (with or without episiotomy) · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in third‐ or fourth‐degree perineal tear (with or without episiotomy) compared with any vacuum cup (moderate certainty).

1 finding from 1 review

Handheld vacuum vs any vacuum cup

Postpartum haemorrhage · Women in the second stage of labour, requiring an assisted vaginal birth

Handheld vacuum showed no clear difference in postpartum haemorrhage (≥ 500 mL) compared with any vacuum 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