Cochrane · systematic review · CD003106

Interventionist versus expectant care for severe pre‐eclampsia between 24 and 34 weeks' gestation

Churchill, D, Duley, L, Thornton, JG, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 2 · 28.6%Low 3 · 42.9%Moderate 1 · 14.3%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

Interventionist care compared to expectant (delayed delivery) care for severe pre‐eclampsia for severe pre‐eclampsia between 24 and 34 weeks' gestation

Population: women with severe pre‐eclampsia between 24 and 34 weeks' gestation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal death
Interventionist care vs expectant (delayed delivery) care
no estimate extracted2 studies · 320 participantsLow
Downgraded: risk of bias
Eclampsia
Interventionist care vs expectant (delayed delivery) care
RR 0.98 [0.06, 15.58]2 studies · 359 participantsVery low
Downgraded: risk of bias, imprecision
Stroke (brain damage)
Interventionist care vs expectant (delayed delivery) care
no estimate extractedNRNo studies
HELLP syndrome
Interventionist care vs expectant (delayed delivery) care
RR 1.09 [0.62, 1.91]2 studies · 359 participantsLow
Downgraded: risk of bias, imprecision
Pulmonary oedema
Interventionist care vs expectant (delayed delivery) care
RR 0.45 [0.07, 3]3 studies · 415 participantsVery low
Downgraded: risk of bias, imprecision
Perinatal mortality or perinatal death
Interventionist care vs expectant (delayed delivery) care
RR 1.11 [0.62, 1.99]3 studies · 343 participantsLow
Downgraded: risk of bias, imprecision
Intraventricular haemorrhage or hypoxic ischaemic encephalopathy
Interventionist care vs expectant (delayed delivery) care
RR 1.94 [1.15, 3.29]2 studies · 537 participantsModerate
Downgraded: risk of bias, imprecision