Summary of findings 5. Acupressure compared to usual care for induction of labour.
Acupressure compared to usual care for induction of labour | ||||||
Patient or population: women due for third trimester induction of labour Setting: hospital ward/clinic Intervention: Acupressure Comparison: usual care | ||||||
Outcomes | Anticipated absolute effects* (95% CI) | Relative effect (95% CI) | № of participants (studies) | Quality of the evidence (GRADE) | Comments | |
Risk with usual care | Risk with Acupressure | |||||
Vaginal delivery not achieved within 24 hours ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported on this outcome |
Uterine hyperstimulation with FHR changes ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported on this outcome |
Caesarean section | Study population | RR 1.02 (0.68 to 1.53) | 151 (2 RCTs) | ⊕⊕⊕⊝ MODERATE 1 | No evidence of benefit for acupressure | |
373 per 1,000 | 381 per 1,000 (254 to 571) | |||||
Serious maternal morbidity or death ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported on this outcome |
Serious neonatal morbidity or death ‐ not reported | ‐ | ‐ | ‐ | ‐ | ‐ | No studies reported on this outcome |
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). CI: Confidence interval; RR: Risk ratio; OR: Odds ratio; | ||||||
GRADE Working Group grades of evidence High quality: We are very confident that the true effect lies close to that of the estimate of the effect Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect |
1 Downgraded one level: Small sample size.