Cochrane · systematic review · CD006107

Ultrasound versus 'clinical touch' for catheter guidance during embryo transfer in women

Brown, J, Buckingham, K, Buckett, W, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Gynaecology and FertilityAMSTAR 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
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 5 · 71.4%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

Ultrasound‐guided embryo transfer versus clinical touch

Population: Women undergoing embryo transfer as part of IVF or ICSI cycle
7 questions
OutcomeEffectEvidenceStatus / GRADE
Live birth and ongoing pregnancy (per woman randomised)
Ultrasound‐guided embryo transfer vs clinical touch
OR 1.47 [1.3, 1.65]13 studies · 5859 participantsLow
Downgraded: risk of bias
Live birth
Ultrasound‐guided embryo transfer vs clinical touch
OR 1.53 [1.29, 1.8]4 studies · 3117 participantsLow
Downgraded: risk of bias, inconsistency
Ongoing pregnancy
Ultrasound‐guided embryo transfer vs clinical touch
OR 1.4 [1.19, 1.66]9 studies · 2742 participantsModerate
Downgraded: risk of bias, inconsistency
Clinical pregnancy (per woman randomised)
Ultrasound‐guided embryo transfer vs clinical touch
OR 1.31 [1.17, 1.45]20 studies · 6711 participantsModerate
Downgraded: risk of bias, inconsistency
Multiple pregnancy (per woman randomised)
Ultrasound‐guided embryo transfer vs clinical touch
OR 1.13 [0.87, 1.45]8 studies · 3379 participantsModerate
Downgraded: risk of bias, inconsistency
Miscarriage (per woman randomised)
Ultrasound‐guided embryo transfer vs clinical touch
OR 0.99 [0.74, 1.31]11 studies · 4053 participantsModerate
Downgraded: risk of bias, inconsistency
Ectopic pregnancy (per woman randomised)
Ultrasound‐guided embryo transfer vs clinical touch
OR 0.64 [0.28, 1.49]8 studies · 3761 participantsModerate
Downgraded: risk of bias, inconsistency