Cochrane · systematic review · CD000938
Induction of labour at or near term for suspected fetal macrosomia
Boulvain, M, Thornton, JG · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
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
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 3 · 42.9%High 1 · 14.3%
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
Current version onlyInduction of labour versus expectant management for suspected fetal macrosomia
Population: women with term or near term (> 37 weeks' gestation) with suspected fetal macrosomia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Caesarean section Induction of labour vs expectant management | RR 0.91 [0.76, 1.09] | 4 studies · 1190 participants | Moderate Downgraded: risk of bias |
Instrumental delivery Induction of labour vs expectant management | RR 0.86 [0.65, 1.13] | 4 studies · 1190 participants | Low Downgraded: risk of bias |
Shoulder dystocia Induction of labour vs expectant management | RR 0.6 [0.37, 0.98] | 4 studies · 1190 participants | Moderate Downgraded: risk of bias |
Brachial plexus injury Induction of labour vs expectant management | RR 0.21 [0.01, 4.28] | 4 studies · 1190 participants | Low Downgraded: risk of bias, imprecision |
Fracture (any) Induction of labour vs expectant management | RR 0.2 [0.05, 0.79] | 4 studies · 1190 participants | High |
Low Apgar score (5 minutes) Induction of labour vs expectant management | RR 1.51 [0.25, 9.02] | 2 studies · 858 participants | Low Downgraded: risk of bias, imprecision |
Low arterial cord blood pH (< 7.10) Induction of labour vs expectant management | RR 1.01 [0.46, 2.22] | 1 study · 818 participants | Moderate Downgraded: risk of bias, imprecision |
Induction of labour versus expectant management for suspected fetal macrosomia
Population: women with term or near term (> 37 weeks' gestation) with suspected fetal macrosomia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Caesarean section Induction of labour vs expectant management | RR 0.91 [0.76, 1.09] | 4 studies · 1190 participants | Moderate Downgraded: risk of bias |
Instrumental delivery Induction of labour vs expectant management | RR 0.86 [0.65, 1.13] | 4 studies · 1190 participants | Low Downgraded: risk of bias |
Shoulder dystocia Induction of labour vs expectant management | RR 0.6 [0.37, 0.98] | 4 studies · 1190 participants | Moderate Downgraded: risk of bias |
Brachial plexus injury Induction of labour vs expectant management | RR 0.21 [0.01, 4.28] | 4 studies · 1190 participants | Low Downgraded: risk of bias, imprecision |
Fracture (any) Induction of labour vs expectant management | RR 0.2 [0.05, 0.79] | 4 studies · 1190 participants | High |
Low Apgar score (5 minutes) Induction of labour vs expectant management | RR 1.51 [0.25, 9.02] | 2 studies · 858 participants | Low Downgraded: risk of bias, imprecision |
Low arterial cord blood pH (< 7.10) Induction of labour vs expectant management | RR 1.01 [0.46, 2.22] | 1 study · 818 participants | Moderate Downgraded: risk of bias, imprecision |