Cochrane · systematic review · CD013808

Fetal scalp stimulation for assessing fetal well‐being during labour

Murphy, DJ, Devane, D, Molloy, E, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
14
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 8 · 57.1%Very low 6 · 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

Summary of findings

Population: women with an abnormal cardiotocograph (CTG) in labour
7 questions
OutcomeEffectEvidenceStatus / GRADE
Perinatal death
no estimate extracted1 study · 50 participantsUngraded
Neurodevelopmental disability at >/= 12 months
no estimate extracted1 study · 50 participantsUngraded
Caesarean section (all indications)
RR 0.38 [0.16, 0.92]1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision
Neonatal encephalopathy Â
no estimate extracted1 study · 50 participantsUngraded
Assisted vaginal birth (all indications) Â
RR 1.44 [0.76, 2.75]1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision
Spontaneous vaginal birth Â
RR 2.33 [0.68, 8.01]1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision
Maternal acceptability of procedure(s)
no estimate extracted1 study · 50 participantsUngraded

Summary of findings

Population: women with an abnormal CTG in labour
7 questions
OutcomeEffectEvidenceStatus / GRADE
Perinatal death Â
no estimate extracted1 study · 327 participantsUngraded
Neurodevelopmental disability at >/= 12 months Â
no estimate extracted1 study · 327 participantsUngraded
Caesarean section (all indications) Â
RR 0.83 [0.59, 1.18]1 study · 327 participantsVery low
Downgraded: risk of bias, imprecision
Neonatal encephalopathy Â
no estimate extracted1 study · 327 participantsUngraded
Assisted vaginal birth (all indications) Â
RR 1.43 [0.78, 2.6]1 study · 327 participantsVery low
Downgraded: risk of bias, imprecision
Spontaneous vaginal birth Â
RR 1.01 [0.85, 1.21]1 study · 327 participantsVery low
Downgraded: risk of bias, imprecision
Maternal acceptability of procedure Â
no estimate extracted1 study · 327 participantsUngraded