Cochrane · systematic review · CD012910
Planned birth at or near term for improving health outcomes for pregnant women with gestational diabetes and their infants
Biesty, LM, Egan, AM, Dunne, F, et al. · 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 5 · 71.4%Low 1 · 14.3%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
Planned elective birth (induction or caesarean) compared to expectant management for pregnant women with gestational diabetes
Population: pregnant women with gestational diabetes, between 38 ‐ 39 gestational weeks, without other maternal or fetal conditions.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal mortality or serious maternal morbidity Planned elective birth (induction or caesarean) vs expectant management | RR 1.48 [0.25, 8.76] | 1 study · 425 participants | Very low Downgraded: imprecision, inconsistency |
Caesarean section Planned elective birth (induction or caesarean) vs expectant management | RR 1.06 [0.64, 1.77] | 1 study · 425 participants | Very low Downgraded: imprecision, inconsistency |
Instrumental vaginal birth Planned elective birth (induction or caesarean) vs expectant management | RR 0.81 [0.45, 1.46] | 1 study · 425 participants | Very low Downgraded: imprecision, inconsistency |
Perinatal mortality rate Planned elective birth (induction or caesarean) vs expectant management | no estimate extracted | 1 study · 425 participants | Very low Downgraded: imprecision, inconsistency |
Shoulder dystocia Planned elective birth (induction or caesarean) vs expectant management | RR 2.96 [0.31, 28.21] | 1 study · 425 participants | Very low Downgraded: imprecision, inconsistency |
Large‐for‐gestational age Planned elective birth (induction or caesarean) vs expectant management | RR 0.53 [0.28, 1.02] | 1 study · 425 participants | Low Downgraded: imprecision, inconsistency |
Acidaemia ‐ not measured Planned elective birth (induction or caesarean) vs expectant management | no estimate extracted | NR | No studies |