Cochrane · systematic review · CD005125

Antibiotic prophylaxis for third‐ and fourth‐degree perineal tear during vaginal birth

Buppasiri, P, Lumbiganon, P, Thinkhamrop, J, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
3
current version
GRADE rated
2
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 33.3%Very low 0 · 0%Low 1 · 33.3%Moderate 1 · 33.3%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

Antibiotic prophylaxis versus no treatment for perineal tear for third‐ and fourth‐degree perineal tear during vaginal birth

Population: Women with third‐ and fourth‐degree perineal tear during vaginal birth
3 questions
OutcomeEffectEvidenceStatus / GRADE
Infection rate at 2 weeks postpartum ‐ perineal wound infection in third‐ or fourth‐degree tear
Antibiotic prophylaxis vs no treatment
RR 0.34 [0.12, 0.96]1 study · 107 participantsModerate
Downgraded: imprecision, inconsistency
Infection rate at 6 weeks postpartum ‐ perineal wound infection in third‐ or fourth‐degree tear
Antibiotic prophylaxis vs no treatment
RR 0.38 [0.13, 1.09]1 study · 128 participantsLow
Downgraded: imprecision, inconsistency
Fever or puerperal febrile morbidity
Antibiotic prophylaxis vs no treatment
no estimate extracted0 studies · 0 participantsUngraded