Cochrane · systematic review · CD009433
Planned early delivery versus expectant management of the term suspected compromised baby for improving outcomes
Bond, DM, Gordon, A, Hyett, J, et al. · 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
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 5 · 71.4%Moderate 1 · 14.3%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 early delivery compared with expectant management for improving outcomes of the term suspected compromised baby
Population: pregnant women with a term suspected compromised baby
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal mortality (stillbirth ‐ death of fetus prior to birth; neonatal death ‐ death within the first 28 days of birth; or infant death ‐ death after the first 28 days) Planned early delivery vs expectant management | no estimate extracted | 1 study · 459 participants | Moderate |
Major neonatal morbidity one or more of the following: hypoxic ischaemic encephalopathy (HIE) ‐ grade II or III, necrotising enterocolitis (NEC), need for ongoing ventilation, meconium aspiration syndrome, seizures, need for therapeutic hypothermia Planned early delivery vs expectant management | RR 0.15 [0.01, 2.81] | 1 study · 459 participants | Low Downgraded: imprecision |
Neurodevelopmental disability/impairment CBCL, Ages and Stages Questionnaire Planned early delivery vs expectant management | RR 2.04 [0.62, 6.69] | 1 study · 459 participants | Low Downgraded: imprecision |
Maternal mortality Planned early delivery vs expectant management | RR 3.07 [0.13, 74.87] | 1 study · 459 participants | Low Downgraded: imprecision |
Significant maternal morbidity one or more of the following: significant postpartum haemorrhage requiring blood transfusion; maternal admission to intensive care unit; uterine rupture; hysterectomy Planned early delivery vs expectant management | RR 0.92 [0.38, 2.22] | 1 study · 459 participants | Low Downgraded: imprecision |
Admission to NICU Planned early delivery vs expectant management | RR 0.88 [0.35, 2.23] | 3 studies · 545 participants | Very low Downgraded: imprecision |
Caesarean section Planned early delivery vs expectant management | RR 1.02 [0.65, 1.59] | 3 studies · 546 participants | Low Downgraded: imprecision |