Cochrane · systematic review · CD006067
Fundal pressure during the second stage of labour
Hofmeyr, GJ, Vogel, JP, Cuthbert, A, 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
14
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 4 · 28.6%Very low 9 · 64.3%Low 1 · 7.1%Moderate 0 · 0%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
Manual fundal pressure compared to no fundal pressure for the second stage of labour
Population: women with singleton pregnancy in vertex position in second stage of labour
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
No spontaneous vaginal birth within a specified time, as defined by the trial authors Manual fundal pressure vs no fundal pressure | RR 0.96 [0.71, 1.28] | 1 study · 120 participants | Very low Downgraded: imprecision |
Operative birth ‐ Instrumental or caesarean birth Manual fundal pressure vs no fundal pressure | RR 0.66 [0.12, 3.55] | 2 studies · 317 participants | Very low Downgraded: imprecision, inconsistency |
Low arterial cord pH Manual fundal pressure vs no fundal pressure | RR 1.07 [0.72, 1.58] | 2 studies · 297 participants | Very low Downgraded: imprecision |
APGAR score less than 7 at 5 minutes Manual fundal pressure vs no fundal pressure | RR 4.48 [0.28, 71.45] | 4 studies · 2759 participants | Very low Downgraded: imprecision |
Duration of active second stage Manual fundal pressure vs no fundal pressure | no estimate extracted | 1 study · 194 participants | Very low Downgraded: imprecision |
Severe maternal morbidity or death Manual fundal pressure vs no fundal pressure | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neonatal death Manual fundal pressure vs no fundal pressure | no estimate extracted | 2 studies · 2445 participants | Very low Downgraded: imprecision |
Fundal pressure by inflatable belt compared to no fundal pressure for second stage of labour
Population: women with singleton pregnancy in vertex position in second stage of labour
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
No spontaneous vaginal birth within a specified time Fundal pressure by inflatable belt vs no fundal pressure | no estimate extracted | 0 studies · 0 participants | Ungraded |
Operative birth ‐ instrumental or caesarean section Fundal pressure by inflatable belt vs no fundal pressure | RR 0.62 [0.38, 1.01] | 4 studies · 891 participants | Very low Downgraded: imprecision, inconsistency |
Low arterial cord pH Fundal pressure by inflatable belt vs no fundal pressure | RR 0.47 [0.09, 2.55] | 1 study · 461 participants | Low Downgraded: imprecision |
Apgar score less than 7 after 5 minutes Fundal pressure by inflatable belt vs no fundal pressure | RR 4.62 [0.22, 95.68] | 1 study · 500 participants | Very low Downgraded: imprecision |
Duration of second stage (minutes) Fundal pressure by inflatable belt vs no fundal pressure | no estimate extracted | 2 studies · 253 participants | Very low Downgraded: imprecision, inconsistency |
Severe maternal morbidity and death Fundal pressure by inflatable belt vs no fundal pressure | no estimate extracted | 0 studies · 0 participants | Ungraded |
Neonatal death Fundal pressure by inflatable belt vs no fundal pressure | no estimate extracted | 0 studies · 0 participants | Ungraded |