Cochrane · systematic review · CD005461
Effect of partograph use on outcomes for women in spontaneous labour at term and their babies
Lavender, T, Cuthbert, A, Smyth, RMD · 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
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 3 · 42.9%Very low 2 · 28.6%Low 1 · 14.3%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
Partograph compared to no partograph (studies carried out in high‐ and low‐resource settings) for women in spontaneous labour at term
Population: women in spontaneous labour at term
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Caesarean section (overall) Partograph vs no partograph (studies carried out | RR 0.77 [0.4, 1.46] | 3 studies · 1813 participants | Very low Downgraded: imprecision, inconsistency |
Oxytocin augmentation Partograph vs no partograph (studies carried out | RR 1.02 [0.95, 1.1] | 1 study · 1156 participants | Moderate |
Duration of first stage of labour Partograph vs no partograph (studies carried out | no estimate extracted | 1 study · 1156 participants | Low Downgraded: imprecision |
Maternal experience of childbirth (as defined by trial authors) Partograph vs no partograph (studies carried out | no estimate extracted | 0 studies · 0 participants | Ungraded |
Apgar score less than 7 at 5 minutes Partograph vs no partograph (studies carried out | RR 0.76 [0.29, 2.03] | 2 studies · 1596 participants | Very low Downgraded: imprecision |
Serious maternal morbidity or death (e.g. ruptured uterus, admission to intensive care unit, septicaemia, organ failure) Partograph vs no partograph (studies carried out | no estimate extracted | 0 studies · 0 participants | Ungraded |
Stillbirth or neonatal death or neonatal morbidity, excluding fatal malformations (e.g. seizures, birth asphyxia, neonatal encephalopathy) Partograph vs no partograph (studies carried out | no estimate extracted | 0 studies · 0 participants | Ungraded |