Less frequent versus more frequent cervical examinations in labor: A systematic review and meta-analysis.
Alessandro Petrecca, Benedetta Bina, Chiara Tersigni et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the impact of less frequent versus more frequent cervical examinations during labor in term singleton pregnancies. Analyzing data from five randomized controlled trials involving 982 women, the study found no significant difference in time from randomization to delivery (11.1 vs 9.93 hours; p = 0.78) between the two examination frequencies.
Key findings
- Less frequent examinations did not significantly affect time from randomization to delivery (11.1 vs 9.93 hours; p = 0.78).
- No differences were found in labor duration, mode of delivery, or maternal complications.
- In a subgroup analysis, less frequent examinations were linked to fewer operative vaginal deliveries (RR 0.50, 95% CI 0.26-0.97).
Why it matters
Understanding the optimal frequency of cervical examinations during labor is crucial for improving maternal and neonatal outcomes. This study provides evidence that less frequent examinations may not compromise safety, potentially guiding clinical practice in labor management.
What to keep in mind
The evidence is limited by substantial clinical heterogeneity, modest sample sizes, and low event rates.