Cochrane · systematic review · CD013013
Anaesthesia/analgesia for manual removal of retained placenta
Kongwattanakul, K, Rojanapithayakorn, N, Laopaiboon, M, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
3
No studies
4
Included studies
NR
No studies 4 · 57.1%Ungraded 0 · 0%Very low 3 · 42.9%Low 0 · 0%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
Paracervical block compared to intravenous diazepam/pethidine analgesia for manual removal of retained placenta
Population: women with persistent or prolonged retention of placenta
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity Paracervical block vs intravenous diazepam/pethidine analgesia | no estimate extracted | NR | No studies |
Adverse events Paracervical block vs intravenous diazepam/pethidine analgesia | no estimate extracted | NR | No studies |
Postpartum haemorrhage (blood loss ≥ 500 mL) Paracervical block vs intravenous diazepam/pethidine analgesia | no estimate extracted | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision |
Requirement of additional analgesia or general anaesthesia Paracervical block vs intravenous diazepam/pethidine analgesia | no estimate extracted | NR | No studies |
Serious maternal morbidity Paracervical block vs intravenous diazepam/pethidine analgesia | no estimate extracted | NR | No studies |
Providers' satisfaction with the procedure Paracervical block vs intravenous diazepam/pethidine analgesia | RR 1.5 [0.71, 3.16] | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision |
Women's satisfaction with the procedure Paracervical block vs intravenous diazepam/pethidine analgesia | RR 0.82 [0.49, 1.37] | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision |