Cochrane · systematic review · CD002250

Antibiotic prophylaxis during the second and third trimester to reduce adverse pregnancy outcomes and morbidity

Thinkhamrop, J, Hofmeyr, GJ, Adetoro, O, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Pregnancy and Childbirth2 versionsAMSTAR 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
6
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 16.7%Very low 1 · 16.7%Low 2 · 33.3%Moderate 1 · 16.7%High 1 · 16.7%

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 only

Prophylactic antibiotics versus placebo for preventing infectious morbidity and mortality

Population: women in the second or third trimester of pregnancy before labour and delivery
CD002250.PUB3 (current) · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Preterm prelabour rupture of membranes
Prophylactic antibiotics vs placebo
RR 0.31 [0.06, 1.49]1 study · 229 participantsLow
Downgraded: imprecision
Prelabour rupture of membranes
Prophylactic antibiotics vs placebo
RR 0.34 [0.15, 0.78]1 study · 229 participantsLow
Downgraded: imprecision
Preterm delivery
Prophylactic antibiotics vs placebo
RR 0.88 [0.72, 1.09]6 studies · 3663 participantsHigh
Chorioamnionitis
Prophylactic antibiotics vs placebo
RR 0.62 [0.1, 3.62]1 study · 229 participantsVery low
Downgraded: imprecision
Puerperal sepsis/postpartum endometritis
Prophylactic antibiotics vs placebo
RR 0.53 [0.35, 0.82]3 studies · 627 participantsModerate
Downgraded: imprecision
Intrapartum fever needing treatment with antibiotics
Prophylactic antibiotics vs placebo
no estimate extracted0 studies · 0 participantsUngraded

Prophylactic antibiotics versus placebo for preventing infectious morbidity and mortality

Population: women in the second or third trimester of pregnancy before labour and delivery
CD002250.PUB2 · 6 questions
OutcomeEffectEvidenceStatus / GRADE
Preterm prelabour rupture of membranes
Prophylactic antibiotics vs placebo
RR 0.31 [0.06, 1.49]1 study · 229 participantsLow
Downgraded: imprecision
Prelabour rupture of membranes
Prophylactic antibiotics vs placebo
RR 0.34 [0.15, 0.78]1 study · 229 participantsLow
Downgraded: imprecision
Preterm delivery
Prophylactic antibiotics vs placebo
RR 0.85 [0.64, 1.14]5 studies · 1480 participantsLow
Downgraded: imprecision
Chorioamnionitis
Prophylactic antibiotics vs placebo
RR 0.62 [0.1, 3.62]1 study · 229 participantsVery low
Downgraded: imprecision
Puerperal sepsis/postpartum endometritis
Prophylactic antibiotics vs placebo
RR 0.53 [0.35, 0.82]3 studies · 627 participantsModerate
Downgraded: imprecision
Intrapartum fever needing treatment with antibiotics
Prophylactic antibiotics vs placebo
no estimate extracted0 studies · 0 participantsUngraded