Cochrane · systematic review · CD008968
Immediate versus deferred delivery of the preterm baby with suspected fetal compromise for improving outcomes
Stock, SJ, Bricker, L, Norman, JE, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
6
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 3 · 50%Very low 0 · 0%Low 0 · 0%Moderate 2 · 33.3%High 1 · 16.7%
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
Immediate versus deferred delivery of the preterm baby with suspected fetal compromise for improving outcomes
Population: pregnant women at less than 36 weeks' gestation in whom there is clinical suspicion of fetal compromise
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Extended perinatal mortality Immediate vs deferred delivery of the preterm baby with suspected fetal compromise | RR 1.17 [0.67, 2.04] | 1 study · 587 participants | Moderate Downgraded: imprecision |
Serious neonatal morbidity (composite outcome including bronchopulmonary dysplasia (BPD), necrotising enterocolitis (NEC), intraventricular haemorrhage (IVH), retinopathy of prematurity (ROP), hypoxic ischaemic encephalopathy (HIE) Immediate vs deferred delivery of the preterm baby with suspected fetal compromise | no estimate extracted | 0 studies · 2 participants | Ungraded |
Death or disability at or after 2 years Immediate vs deferred delivery of the preterm baby with suspected fetal compromise | RR 1.22 [0.85, 1.75] | 1 study · 573 participants | Moderate Downgraded: imprecision |
Caesarean section Immediate vs deferred delivery of the preterm baby with suspected fetal compromise | RR 1.15 [1.07, 1.24] | 1 study · 547 participants | High |
Infant admission to neonatal intensive care or special care facility Immediate vs deferred delivery of the preterm baby with suspected fetal compromise | no estimate extracted | 0 studies · 0 participants | Ungraded |
Respiratory distress syndrome (as defined by trialists) Immediate vs deferred delivery of the preterm baby with suspected fetal compromise | no estimate extracted | 0 studies · 0 participants | Ungraded |