Cochrane · systematic review · CD010980

Methods for blood loss estimation after vaginal birth

Diaz, V, Abalos, E, Carroli, G · Cochrane Database of Systematic Reviews · 2018 · 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
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 14.3%Moderate 4 · 28.6%High 2 · 14.3%

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

Direct estimation using calibrated drapes compared to indirect estimation using visual estimation for blood loss estimation after vaginal birth

Population: women undergoing vaginal birth
7 questions
OutcomeEffectEvidenceStatus / GRADE
Postpartum anaemia
Direct estimation using calibrated drapes vs indirect estimation using visual estimation
no estimate extractedNRNo studies
Severe morbidity
Direct estimation using calibrated drapes vs indirect estimation using visual estimation
RR 0.82 [0.48, 1.39]1 study · 2999 participantsModerate
Downgraded: imprecision
Blood loss ≥ 500 mL
Direct estimation using calibrated drapes vs indirect estimation using visual estimation
no estimate extractedNRNo studies
Blood transfusion
Direct estimation using calibrated drapes vs indirect estimation using visual estimation
RR 0.82 [0.46, 1.46]1 study · 5561 participantsModerate
Downgraded: imprecision
Use of plasma expanders
Direct estimation using calibrated drapes vs indirect estimation using visual estimation
RR 0.77 [0.42, 1.42]1 study · 3122 participantsModerate
Downgraded: imprecision
Use of therapeutic uterotonics
Direct estimation using calibrated drapes vs indirect estimation using visual estimation
RR 0.87 [0.42, 1.76]1 study · 593 participantsModerate
Downgraded: imprecision
Maternal infection
Direct estimation using calibrated drapes vs indirect estimation using visual estimation
no estimate extractedNRNo studies

Direct measurement using calibrated drapes compared to indirect estimation using gravimetric technique for blood loss estimation after vaginal birth

Population: women undergoing vaginal birth
7 questions
OutcomeEffectEvidenceStatus / GRADE
Postpartum anaemia
Direct measurement using calibrated drapes vs indirect estimation using gravimetric technique
no estimate extractedNRNo studies
Severe morbidity
Direct measurement using calibrated drapes vs indirect estimation using gravimetric technique
no estimate extractedNRNo studies
Blood loss ≥ 500 mL
Direct measurement using calibrated drapes vs indirect estimation using gravimetric technique
RR 1.86 [1.11, 3.11]1 study · 900 participantsHigh
Blood transfusion
Direct measurement using calibrated drapes vs indirect estimation using gravimetric technique
RR 1 [0.06, 15.94]1 study · 900 participantsLow
Downgraded: imprecision
Use of plasma expanders
Direct measurement using calibrated drapes vs indirect estimation using gravimetric technique
RR 0.67 [0.19, 2.35]1 study · 900 participantsLow
Downgraded: imprecision
Use of therapeutic uterotonics
Direct measurement using calibrated drapes vs indirect estimation using gravimetric technique
RR 1.01 [0.9, 1.13]1 study · 900 participantsHigh
Maternal infection
Direct measurement using calibrated drapes vs indirect estimation using gravimetric technique
no estimate extractedNRNo studies