Cochrane · systematic review · CD010845
Breastfeeding or nipple stimulation for reducing postpartum haemorrhage in the third stage of labour
Abedi, P, Jahanfar, S, Namvar, F, 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 37.5%Low 4 · 50%Moderate 1 · 12.5%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
Summary of findings ‐ Nipple stimulation (suckling) versus no treatment (comparison 1)
Population: nipple stimulation (suckling) for preventing postpartum haemorrhage in the third stage of labour.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal death Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1) | RR 3.03 [0.12, 74.26] | 1 study · 4227 participants | Very low Downgraded: risk of bias, imprecision |
Frequency of PPH ≥ 500 mL Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1) | RR 0.95 [0.77, 1.16] | 1 study · 4227 participants | Moderate Downgraded: risk of bias, imprecision |
Amount of blood loss Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1) | no estimate extracted | 1 study · 4227 participants | Low Downgraded: risk of bias, imprecision |
Retained placenta Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1) | RR 1.01 [0.14, 7.16] | 1 study · 4227 participants | Very low Downgraded: risk of bias, imprecision |
Perinatal death Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1) | RR 1.06 [0.57, 1.98] | 1 study · 4271 participants | Low Downgraded: risk of bias, imprecision |
Maternal admission to hospital Summary of findings ‐ Nipple stimulation (suckling) vs no treatment (comparison 1) | RR 1.01 [0.14, 7.16] | 1 study · 4227 participants | Very low Downgraded: risk of bias, imprecision |
Summary of findings ‐ Nipple stimulation (breast pump) versus oxytocin
Population: a total of 87 primigravida women were enrolled, 85 completed the study: 32 were study cases and 53 were controls.28% (study group) and 22% (controls) of pregnant women were considered to be of high risk.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Amount blood loss Summary of findings ‐ Nipple stimulation (breast pump) vs oxytocin | no estimate extracted | 1 study · 85 participants | Low Downgraded: risk of bias, imprecision |
Postnatal anaemia Summary of findings ‐ Nipple stimulation (breast pump) vs oxytocin | no estimate extracted | 1 study · 85 participants | Low Downgraded: risk of bias, imprecision |