Cochrane · systematic review · CD011202

Use of biochemical tests of placental function for improving pregnancy outcome

Heazell, AEP, Whitworth, M, Duley, L, 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 3 · 42.9%Low 4 · 57.1%Moderate 0 · 0%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

Test of placental function compared with standard care for improving pregnancy outcome

Population: women in the third trimester of pregnancy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death of a baby (stillbirth or neonatal death) report of perinatal death
Test of placental function vs standard care
RR 0.88 [0.36, 2.13]2 studies · 740 participantsVery low
Downgraded: risk of bias
Stillbirth report of stillbirth
Test of placental function vs standard care
RR 0.56 [0.16, 1.88]2 studies · 740 participantsVery low
Downgraded: risk of bias, imprecision
Neonatal death report of neonatal death
Test of placental function vs standard care
RR 1.62 [0.39, 6.74]2 studies · 740 participantsVery low
Downgraded: risk of bias, imprecision
Small‐for‐gestational age (below 10th centile on customised birthweight chart or as defined by trialists) birthweight centile chart
Test of placental function vs standard care
RR 0.44 [0.16, 1.19]1 study · 118 participantsLow
Downgraded: imprecision
Preterm birth (before 37 weeks' gestation) reported gestation at birth
Test of placental function vs standard care
RR 2.9 [0.12, 69.81]1 study · 118 participantsLow
Downgraded: imprecision
Elective delivery (induction of labour or non‐labour caesarean section) report of mode of delivery
Test of placental function vs standard care
RR 0.98 [0.84, 1.14]2 studies · 740 participantsLow
Downgraded: risk of bias, imprecision
Caesarean section report of mode of delivery
Test of placental function vs standard care
RR 0.48 [0.15, 1.52]1 study · 118 participantsLow
Downgraded: imprecision