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. Author manuscript; available in PMC: 2011 Jun 23.
Published in final edited form as: Obstet Gynecol. 2009 Oct;114(4):877–884. doi: 10.1097/AOG.0b013e3181b5c9e8
Rating Description
United States Preventive Services Task Force1
 I Evidence obtained from at least one properly randomized, controlled
trial.
 II-1 Evidence obtained from well-designed controlled trials without
randomization.
 II-2 Evidence obtained from well-designed cohort or case–control
analytic studies, preferably from more than one center or research
group.
 II-3 Evidence obtained from multiple time series with or without the
intervention. Dramatic results in uncontrolled experiments (such as
the results of the introduction of penicillin treatment in the 1940s)
also could be regarded as this type of evidence.
 III Opinions of respected authorities based on clinical experience,
descriptive studies and case reports, or reports of expert committees.
American College of Obstetricians and Gynecologists2
 I A randomized controlled trial.
 II A cohort or case–control study that includes a comparison group.
 III An uncontrolled descriptive study including case series.