Cochrane · systematic review · CD011491

Oxytocin for preventing postpartum haemorrhage (PPH) in non‐facility birth settings

Pantoja, T, Abalos, E, Chapman, E, 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 5 · 62.5%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

Prophylactic oxytocin injection (delivered by community health officer) versus control (no injection) for preventing postpartum haemorrhage

Population: pregnant women giving birth in non‐facility settings
8 questions
OutcomeEffectEvidenceStatus / GRADE
Severe postpartum haemorrhage (> 1000 mL) [
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
RR 0.16 [0.02, 1.3]1 study · 1569 participantsVery low
Downgraded: risk of bias, imprecision
Severe maternal morbidity
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
no estimate extracted1 study · 1586 participantsVery low
Downgraded: risk of bias, imprecision
Maternal deaths
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
no estimate extracted1 study · 1586 participantsVery low
Downgraded: risk of bias, imprecision
Postpartum haemorrhage (PPH greater or equal to 500 mL) [
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
RR 0.48 [0.28, 0.81]1 study · 1574 participantsLow
Downgraded: risk of bias, imprecision
Postpartum haemorrhage (adjusted by design effect) [
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
RR 0.49 [0.27, 0.9]1 study · 1574 participantsLow
Downgraded: risk of bias, imprecision
Transfer or referral to health facility [
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
RR 0.72 [0.34, 1.56]1 study · 1586 participantsLow
Downgraded: risk of bias, imprecision
Stillbirths [
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
RR 1.27 [0.67, 2.4]1 study · 2006 participantsLow
Downgraded: risk of bias, imprecision
Early infant death (0‐3 days) [
Prophylactic oxytocin injection (delivered by community health officer) vs control (no injection)
RR 1.03 [0.35, 3.07]1 study · 1969 participantsLow
Downgraded: risk of bias, imprecision