Cochrane · systematic review · CD006553
Planned caesarean section for women with a twin pregnancy
Hofmeyr, GJ, Barrett, JF, Crowther, CA · Cochrane Database of Systematic Reviews · 2015 · 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 0 · 0%Low 0 · 0%Moderate 6 · 85.7%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
Planned caesarean section versus planned vaginal birth for women with a twin pregnancy
Population: women with a twin pregnancy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal death or serious maternal morbidity Planned caesarean section vs planned vaginal birth | RR 0.86 [0.67, 1.11] | 2 studies · 2844 participants | Moderate |
Perinatal or neonatal death or serious neonatal morbidity Planned caesarean section vs planned vaginal birth | RR 1.15 [0.8, 1.67] | 1 study · 5565 participants | Moderate |
Disability in childhood Planned caesarean section vs planned vaginal birth | no estimate extracted | 0 studies · 0 participants | Ungraded |
Perinatal or neonatal death Planned caesarean section vs planned vaginal birth | RR 1.41 [0.76, 2.62] | 2 studies · 5685 participants | Moderate |
Serious neonatal morbidity Planned caesarean section vs planned vaginal birth | RR 1.03 [0.65, 1.64] | 2 studies · 5644 participants | Moderate |
Longer‐term maternal outcomes: failure to breastfeed Planned caesarean section vs planned vaginal birth | RR 1.14 [0.95, 1.38] | 1 study · 2570 participants | Moderate |
Longer‐term maternal outcomes: postnatal depression, as defined by trial authors (EPDS > 12) Planned caesarean section vs planned vaginal birth | RR 0.95 [0.78, 1.14] | 1 study · 2570 participants | Moderate |