Cochrane · systematic review · CD011371

Regimens of ultrasound surveillance for twin pregnancies for improving outcomes

Woolcock, JG, Grivell, RM, Dodd, JM · 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 2 · 28.6%High 2 · 28.6%

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

Fetal growth (biometry) + umbilical artery Doppler versus fetal growth for twin pregnancies for improving outcomes

Population: women with twin pregnancies were randomised from 25 weeks
7 questions
OutcomeEffectEvidenceStatus / GRADE
Perinatal mortality (after randomisation)
Fetal growth (biometry) + umbilical artery Doppler vs fetal growth
RR 0.88 [0.32, 2.41]1 study · 1052 participantsLow
Downgraded: imprecision
Neonatal death
Fetal growth (biometry) + umbilical artery Doppler vs fetal growth
RR 1.01 [0.29, 3.46]1 study · 1052 participantsLow
Downgraded: imprecision
Birth less than 28 weeks
Fetal growth (biometry) + umbilical artery Doppler vs fetal growth
no estimate extractedNRNo studies
Gestational age at birth (weeks)
Fetal growth (biometry) + umbilical artery Doppler vs fetal growth
MD 0.11 study · 526 participantsModerate
Caesarean section (any)
Fetal growth (biometry) + umbilical artery Doppler vs fetal growth
RR 1 [0.81, 1.23]1 study · 526 participantsHigh
Induction of labour
Fetal growth (biometry) + umbilical artery Doppler vs fetal growth
RR 1.1 [0.8, 1.5]1 study · 526 participantsModerate
Downgraded: imprecision
Antenatal admission to hospital
Fetal growth (biometry) + umbilical artery Doppler vs fetal growth
RR 0.96 [0.8, 1.15]1 study · 526 participantsHigh