Cochrane · systematic review · CD012544
Fetal biometry for guiding the medical management of women with gestational diabetes mellitus for improving maternal and perinatal health
Rao, U, de Vries, B, Ross, GP, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
9
current version
GRADE rated
7
No studies
2
Included studies
NR
No studies 2 · 22.2%Ungraded 0 · 0%Very low 5 · 55.6%Low 2 · 22.2%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
Fetal biometry versus maternal glycaemic values for guiding the medical management of women with gestational diabetes mellitus (maternal outcomes)
Population: women with gestational diabetes mellitus and their babies
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Caesarean delivery Fetal biometry vs maternal glycaemic values | RR 0.81 [0.59, 1.1] | 2 studies · 428 participants | Low Downgraded: risk of bias |
Maternal Hypoglycaemia ‐ not reported Fetal biometry vs maternal glycaemic values | no estimate extracted | NR | No studies |
Hypertensive disorders of pregnancy (including pre‐eclampsia, pregnancy‐induced hypertension, eclampsia) Fetal biometry vs maternal glycaemic values | RR 0.8 [0.34, 1.89] | 2 studies · 325 participants | Very low Downgraded: risk of bias |
Development of T2DM in mother ‐ not reported Fetal biometry vs maternal glycaemic values | no estimate extracted | NR | No studies |
Fetal biometry versus maternal glycaemic values for guiding the medical management of women with gestational diabetes mellitus (fetal and neonatal outcomes)
Population: women with gestational diabetes mellitus and their babies
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Large‐for‐gestational age Fetal biometry vs maternal glycaemic values | RR 0.81 [0.38, 1.74] | 3 studies · 524 participants | Very low Downgraded: risk of bias |
Shoulder dystocia Fetal biometry vs maternal glycaemic values | RR 0.33 [0.01, 7.98] | 1 study · 96 participants | Very low Downgraded: risk of bias |
Composite outcome neonatal morbidity or mortality Fetal biometry vs maternal glycaemic values | RR 1 [0.21, 4.71] | 1 study · 96 participants | Very low Downgraded: risk of bias |
Neonatal hypoglycaemia Fetal biometry vs maternal glycaemic values | RR 0.9 [0.57, 1.42] | 3 studies · 524 participants | Low Downgraded: risk of bias |
Perinatal mortality Fetal biometry vs maternal glycaemic values | RR 0.33 [0.01, 7.98] | 1 study · 96 participants | Very low Downgraded: risk of bias |