Cochrane · systematic review · CD000161

Pelvimetry for fetal cephalic presentations at or near term for deciding on mode of delivery

Pattinson, RC, Cuthbert, A, Vannevel, V · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 5 · 71.4%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

X‐ray pelvimetry compared to no X‐ray pelvimetry in cephalic presentations for fetal cephalic presentations at or near term

Population: pregnant women at or near term with fetal cephalic presentations
7 questions
OutcomeEffectEvidenceStatus / GRADE
Caesarean section
X‐ray pelvimetry vs no X‐ray pelvimetry
RR 1.34 [1.19, 1.52]5 studies · 1159 participantsLow
Downgraded: risk of bias
Perinatal mortality
X‐ray pelvimetry vs no X‐ray pelvimetry
RR 0.53 [0.19, 1.45]5 studies · 1159 participantsVery low
Downgraded: risk of bias, imprecision
Wound sepsis
X‐ray pelvimetry vs no X‐ray pelvimetry
RR 0.83 [0.26, 2.67]1 study · 288 participantsVery low
Downgraded: risk of bias, imprecision
Blood transfusion
X‐ray pelvimetry vs no X‐ray pelvimetry
RR 1 [0.39, 2.59]1 study · 288 participantsVery low
Downgraded: risk of bias, imprecision
Scar dehiscence
X‐ray pelvimetry vs no X‐ray pelvimetry
RR 0.59 [0.14, 2.46]2 studies · 390 participantsVery low
Downgraded: risk of bias, imprecision
Admission to special care baby units
X‐ray pelvimetry vs no X‐ray pelvimetry
RR 0.2 [0.01, 4.13]1 study · 288 participantsVery low
Downgraded: risk of bias, imprecision
Apgar score < 7 at 5 minutes
X‐ray pelvimetry vs no X‐ray pelvimetry
no estimate extracted0 studies · 0 participantsUngraded