Cochrane · systematic review · CD014698
Routine ultrasound for fetal assessment before 24 weeks' gestation
Kaelin Agten, A, Xia, J, Servante, JA, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
10
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 4 · 40%Very low 0 · 0%Low 2 · 20%Moderate 4 · 40%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
First trimester routine compared to selective ultrasound for fetal assessment before 24 weeks' gestation
Population: Fetal ultrasound assessment before 24 weeks' gestation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Maternal anxiety3 First trimester routine vs selective ultrasound | RR 0.8 [0.65, 0.99] | 1 study · 634 participants | Moderate Downgraded: risk of bias |
Perinatal loss First trimester routine vs selective ultrasound | RR 0.97 [0.55, 1.73] | 1 study · 648 participants | Low Downgraded: risk of bias |
Induction of labour for post‐maturity First trimester routine vs selective ultrasound | RR 0.83 [0.5, 1.37] | 3 studies · 1474 participants | Low Downgraded: risk of bias |
Termination for major abnormality First trimester routine vs selective ultrasound | no estimate extracted | 0 studies · 0 participants | Ungraded |
Birth before 34 weeks' gestation First trimester routine vs selective ultrasound | no estimate extracted | 0 studies · 0 participants | Ungraded |
Second trimester routine versus selective ultrasound for fetal assessment before 24 weeks' gestation
Population: Fetal ultrasound assessment before 24 weeks' gestation
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perinatal loss Second trimester routine vs selective ultrasound | RR 0.98 [0.81, 1.2] | 3 studies · 17918 participants | Moderate |
Induction of labour for post‐maturity Second trimester routine vs selective ultrasound | RR 0.48 [0.31, 0.73] | 6 studies · 24174 participants | Moderate Downgraded: risk of bias, inconsistency |
Termination of pregnancy for fetal abnormality Second trimester routine vs selective ultrasound | RR 2.36 [1.13, 4.93] | 4 studies · 26893 participants | Moderate |
Maternal anxiety Second trimester routine vs selective ultrasound | no estimate extracted | 0 studies · 0 participants | Ungraded |
Birth before 34 weeks' gestation Second trimester routine vs selective ultrasound | no estimate extracted | 0 studies · 0 participants | Ungraded |