Cochrane · systematic review · CD008991
Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy
Alfirevic, Z, Stampalija, T, Medley, N · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 50%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
Cerclage versus no cerclage
Population: preventing preterm birth in women with singleton pregnancy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
All perinatal losses Cerclage vs no cerclage | RR 0.82 [0.65, 1.04] | 10 studies · 2927 participants | Moderate Downgraded: imprecision |
Serious neonatal morbidity Cerclage vs no cerclage | RR 0.8 [0.55, 1.18] | 6 studies · 883 participants | Low Downgraded: imprecision |
Baby discharged home healthy Cerclage vs no cerclage | RR 1.02 [0.97, 1.06] | 4 studies · 657 participants | Moderate Downgraded: imprecision |
Stillbirths Cerclage vs no cerclage | RR 0.89 [0.45, 1.75] | 5 studies · 1803 participants | Low Downgraded: imprecision |
Neonatal deaths before discharge Cerclage vs no cerclage | RR 0.85 [0.53, 1.39] | 6 studies · 1714 participants | Low Downgraded: imprecision |
Preterm birth before 34 completed weeks Cerclage vs no cerclage | RR 0.77 [0.66, 0.89] | 9 studies · 2415 participants | High |