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Cochrane Database of Systematic Reviews

Manipulación fetal para facilitar las pruebas de bienestar fetal

Información

DOI:
https://doi.org/10.1002/14651858.CD003396.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 07 diciembre 2013see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Embarazo y parto

Copyright:
  1. Copyright © 2013 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Cifras del artículo

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Contraer

Autores

  • Kelvin H Tan

    Correspondencia a: Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore, Singapore

    [email protected]

    [email protected]

  • Antoinette Sabapathy

    School of Health Sciences, Nanyang Polytechnic, Singapore, Singapore

  • Xing Wei

    Department of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore, Singapore

Contributions of authors

KH Tan drafted and produced the protocol. KH Tan, and A Sabapathy independently drafted and discussed the initial review together. KH Tan coordinated the discussion and the final review.

In the 2013 update, KH Tan, A Sabapathy and X Wei independently reviewed the new studies, discussed and finalised the review.

Declarations of interest

None known.

Acknowledgements

Thanks to Professor James Neilson who helped to initiate and conceive this review.

The National Institute for Health Research (NIHR) is the largest single funder of the Cochrane Pregnancy and Childbirth Group. The views and opinions expressed therein are those of the authors and do not necessarily reflect those of the NIHR, NHS or the Department of Health.

Version history

Published

Title

Stage

Authors

Version

2013 Dec 07

Fetal manipulation for facilitating tests of fetal wellbeing

Review

Kelvin H Tan, Antoinette Sabapathy, Xing Wei

https://doi.org/10.1002/14651858.CD003396.pub2

2001 Oct 23

Fetal manipulation for facilitating tests of fetal wellbeing

Review

Kelvin H Tan, Antoinette Sabapathy

https://doi.org/10.1002/14651858.CD003396

Differences between protocol and review

Methods updated to current Cochrane Pregnancy and Childbirth Group standards (2013).

Notes

Update in November 2003: included new study by Visser 1983.

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

.'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Figuras y tablas -
Figure 1

.'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.

'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 2

'Risk of bias' summary: review authors' judgements about each risk of bias item for each included study.

Comparison 1 Manual fetal manipulation versus no or mock stimulation, Outcome 1 Non‐reactive cardiotocography.
Figuras y tablas -
Analysis 1.1

Comparison 1 Manual fetal manipulation versus no or mock stimulation, Outcome 1 Non‐reactive cardiotocography.

Comparison 1 Manual fetal manipulation versus no or mock stimulation, Outcome 5 Mean time of fetal heart rate remaining unreactive.
Figuras y tablas -
Analysis 1.5

Comparison 1 Manual fetal manipulation versus no or mock stimulation, Outcome 5 Mean time of fetal heart rate remaining unreactive.

Comparison 2 Manual fetal manipulation versus vibroacoustic stimulation, Outcome 1 Non‐reactive cardiotocography.
Figuras y tablas -
Analysis 2.1

Comparison 2 Manual fetal manipulation versus vibroacoustic stimulation, Outcome 1 Non‐reactive cardiotocography.

Comparison 2 Manual fetal manipulation versus vibroacoustic stimulation, Outcome 2 Need for contraction‐stress test.
Figuras y tablas -
Analysis 2.2

Comparison 2 Manual fetal manipulation versus vibroacoustic stimulation, Outcome 2 Need for contraction‐stress test.

Comparison 1. Manual fetal manipulation versus no or mock stimulation

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Non‐reactive cardiotocography Show forest plot

2

2350

Risk Ratio (M‐H, Random, 95% CI)

0.31 [0.02, 6.20]

2 Perinatal deaths

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

3 Maternal satisfaction

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

4 Maternal anxiety

0

0

Risk Ratio (M‐H, Fixed, 95% CI)

0.0 [0.0, 0.0]

5 Mean time of fetal heart rate remaining unreactive Show forest plot

2

560

Mean Difference (IV, Random, 95% CI)

‐2.29 [‐9.61, 5.03]

Figuras y tablas -
Comparison 1. Manual fetal manipulation versus no or mock stimulation
Comparison 2. Manual fetal manipulation versus vibroacoustic stimulation

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Non‐reactive cardiotocography Show forest plot

1

300

Risk Ratio (M‐H, Fixed, 95% CI)

1.47 [0.83, 2.61]

2 Need for contraction‐stress test Show forest plot

1

300

Risk Ratio (M‐H, Fixed, 95% CI)

2.67 [0.72, 9.86]

Figuras y tablas -
Comparison 2. Manual fetal manipulation versus vibroacoustic stimulation