Table 1.
First phase: generation of clinical recommendations from systematic reviews
1. Literature search |
Design and execution of a specific search strategy for identifying systematic reviews (SR). |
2. Selection of SR |
SR were included based on: |
o Field of interest: obstetrics | |
o Setting: hospital | |
o Relevant to the health topic | |
o Intervention of interest: pharmacological or non-pharmacological treatment, under the responsibility of the clinical team and potentially registered at the clinical record or any database. | |
3. Appraisal of SR |
An assessment of the methodological quality of each SR; we excluded those documents that did not meet one or more internal validity criteria of SIGN*. |
4. Generation of clinical recommendations (CR) |
Generation of a clinical recommendation (for or against a particular intervention) from each SR. Definitions were provided for population, intervention, comparison and outcomes of interest. |
5. Grading of Recommendations | Assessment of the quality of evidence and strength of recommendation based on the GRADE† system. Only those recommendations that were considered strong and supported by high quality evidence remained selected. |
*SIGN: Scottish Intercollegiate Guidelines Network; †GRADE: Grading of Recommendations Assessment, Development and Evaluation.