Cochrane · systematic review · CD005122
Cardiotocography versus intermittent auscultation of fetal heart on admission to labour ward for assessment of fetal wellbeing
Devane, D, Lalor, JG, Daly, S, et al. · 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 1 · 14.3%Low 3 · 42.9%Moderate 2 · 28.6%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
Admission cardiotocography compared to Intermittent auscultation (low‐risk women) for assessment of fetal wellbeing
Population: Low risk pregnant women. All of the women were in labour.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Incidence of caesarean section Admission cardiotocography vs Intermittent auscultation (low‐risk women) | RR 1.2 [1, 1.44] | 4 studies · 11338 participants | Moderate Downgraded: risk of bias |
Incidence of operative vaginal birth Admission cardiotocography vs Intermittent auscultation (low‐risk women) | RR 1.1 [0.95, 1.27] | 4 studies · 11338 participants | Low Downgraded: risk of bias |
Perinatal mortality rate (fetal and neonatal deaths excluding lethal congenital anomalies) Admission cardiotocography vs Intermittent auscultation (low‐risk women) | RR 1.01 [0.3, 3.47] | 4 studies · 11339 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Severe neurodevelopmental disability assessed ≥ 12 months of age Admission cardiotocography vs Intermittent auscultation (low‐risk women) | no estimate extracted | 0 studies · 0 participants | Ungraded |
Incidence of continuous electronic fetal monitoring during labour Admission cardiotocography vs Intermittent auscultation (low‐risk women) | RR 1.3 [1.14, 1.48] | 3 studies · 10753 participants | Low Downgraded: risk of bias |
Incidence and severity of hypoxic ischaemic encephalopathy (incidence only reported) Admission cardiotocography vs Intermittent auscultation (low‐risk women) | RR 1.19 [0.37, 3.9] | 1 study · 2367 participants | Very low Downgraded: risk of bias |
Incidence of seizures in the neonatal period Admission cardiotocography vs Intermittent auscultation (low‐risk women) | RR 0.72 [0.32, 1.61] | 1 study · 8056 participants | Low Downgraded: risk of bias |