Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

13 questions · 13 findings · 3 reviews · Pregnancy and Childbirth

No studies found 4 · 30.8%GRADE not reported 0 · 0%Very low 5 · 38.5%Low 4 · 30.8%Moderate 0 · 0%High 0 · 0%

IM pethidine vs placebo

Additional analgesia required (epidural, pethidine and Entonox) · women in labour

IM pethidine may leads to lower additional analgesia required (epidural, pethidine and Entonox) compared with placebo (low certainty).

1 finding from 1 review

IM pethidine vs placebo

Maternal satisfaction with analgesia measured during labour (number of women satisfied or very satisfied after 30 minutes) · women in labour

It is very uncertain whether IM pethidine changes maternal satisfaction with analgesia measured during labour (number… compared with placebo (very low certainty).

1 finding from 1 review

IM pethidine vs placebo

Maternal pain score or pain measured in labour (described as good or fair after 1 hour) · women in labour

IM pethidine may leads to higher maternal pain score or pain measured in labour (described as good or… compared with placebo (low certainty).

1 finding from 1 review

IM pethidine vs placebo

Maternal pain score or pain measured in labour (reduction in VAS of at least 40 mm after 30 minutes) · women in labour

IM pethidine may leads to higher maternal pain score or pain measured in labour (reduction in VAS of… compared with placebo (low certainty).

1 finding from 1 review

Paracervical vs intravenous diazepam/pethidine analgesia

Providers' satisfaction with the procedure · women with persistent or prolonged retention of placenta

It is very uncertain whether paracervical block changes providers' satisfaction with the procedure compared with intravenous diazepam/pethidine analgesia (very low certainty).

1 finding from 1 review

Paracervical vs intravenous diazepam/pethidine analgesia

Women's satisfaction with the procedure · women with persistent or prolonged retention of placenta

It is very uncertain whether paracervical block changes women's satisfaction with the procedure compared with intravenous diazepam/pethidine analgesia (very low certainty).

1 finding from 1 review