Cochrane · systematic review · CD007529

Fetal and umbilical Doppler ultrasound in high‐risk pregnancies

Alfirevic, Z, Stampalija, T, Dowswell, T · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Pregnancy and Childbirth3 versionsAMSTAR 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 1 · 14.3%Low 2 · 28.6%Moderate 3 · 42.9%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

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Umbilical artery Doppler ultrasound compared to no Doppler ultrasound in high‐risk pregnancies

Population: pregnant women at increased risk of fetal complications
7 questions
OutcomeEffectEvidenceStatus / GRADE
Any perinatal death after randomisation
Umbilical artery Doppler ultrasound vs no Doppler ultrasound
RR 0.71 [0.52, 0.98]16 studies · 10225 participantsModerate
Serious neonatal morbidity
Umbilical artery Doppler ultrasound vs no Doppler ultrasound
no estimate extracted3 studies · 1098 participantsVery low
Stillbirth
Umbilical artery Doppler ultrasound vs no Doppler ultrasound
RR 0.65 [0.41, 1.04]15 studies · 9560 participantsLow
Apgar < 7 at 5 minutes
Umbilical artery Doppler ultrasound vs no Doppler ultrasound
RR 0.92 [0.69, 1.24]7 studies · 6321 participantsLow
Caesarean section (elective and emergency)
Umbilical artery Doppler ultrasound vs no Doppler ultrasound
RR 0.9 [0.84, 0.97]14 studies · 7918 participantsModerate
Induction of labour
Umbilical artery Doppler ultrasound vs no Doppler ultrasound
RR 0.89 [0.8, 0.99]10 studies · 5633 participantsModerate
Long‐term infant neurodevelopmental outcome (impairment at 2 years)
Umbilical artery Doppler ultrasound vs no Doppler ultrasound
no estimate extracted0 studies · 0 participantsUngraded