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Table 1 Characteristics of the 80 datasets from 76 included studies

From: The prevalence of uterine fundal pressure during the second stage of labour for women giving birth in health facilities: a systematic review and meta-analysis

Author Year

Study design

Country

Income level (2020 World Bank)

Method of measuring use of fundal pressure

Last year of data collection

Study population (denominator)

Fundal pressure (numerator)

%

Risk of bias

Abasian Kasegari 2019 [46]

Randomised controlled trial

Iran

Upper-middle

Direct observation

2019

152

54

35.5

Moderate

Abedadeh-Kalahroudi 2019 [47]

Cross-sectional

Iran

Upper-middle

Direct observation

2015

3239

473

14.6

Low

Ahlberg 2016 [32]

Cross-sectional

Sweden

High

Medical records

2013

596

68

11.4

Moderate

Andrade 2016 [48]

Cross-sectional

Brazil

Upper-middle

Medical records

2014

603

52

9.0

Low

Ashouri 2019 [49]

Cross-sectional

Iran

Upper-middle

Self-reported

2017

600

125

20.8

Low

Banks 2017 [50]

Cross-sectional

Ethiopia

Low

Direct observation

2013

193

22

11.4

Low

Becerra-Chauca 2019 [51]

Cross-sectional

Peru

Upper-middle

Self-reported

2016

250

116

46.4

Low

Biguzzi 2012 [52]

Prospective cohort

Italy

High

Direct observation

2009

6011

1632

27.2

Low

Bohren 2019 [53]

Cross-sectional

Guinea, Myanmar, Ghana and Nigeria

Lower-middle and low

Direct observation

2018

2016

63

3.1

Low

Brandao 2018 [54]

Cross-sectional

Ecuador

Upper middle

Self-reported

2017

252

49

19.4

Low

Burns 2007 [55]

Randomised controlled trial

Italy

High

Direct observation

2003

513

21

4.1

Low

Calik 2018 [19]

Descriptive

Turkey

Upper-middle

Direct observation

2015

351

152

43.3

Low

Chalmers 2009 [56]

Descriptive

Canada

High

Self-reported

2006

5368

805

15.0

Low

Ciriello 2012a [57]

Cross-sectional

Italy

High

Medical records

1996

8112

219

2.7

Low

Ciriello 2012b [57]

Cross-sectional

Italy

High

Medical records

2006

8237

47

0.6

Low

Comas 2017 [58]

Prospective cohort

Spain

High

Direct observation

2013

279

48

17.2

Low

Cortes 2018 [59]

Quasi-experimental before-and-after

Brazil

Upper-middle

Self-reported

2015

140

29

20.7

Low

Cromi 2014 [60]

Cross-sectional

Italy

High

Medical records

Not specified

736

103

14.0

Low

Cuerva 2015 [35]

Prospective cohort

Spain

High

Direct observation

2013

52

36

69.2

Low

da Gama 2016 [61]

Descriptive

Brazil

Upper-middle

Self-reported

2012

11,499

4232

36.8

Low

da Silva Carvalho 2019 [62]

Cross-sectional

Brazil

Upper-middle

Self-reported

2014

314

70

22.3

Low

de Oliveira Peripolli 2019 [63]

Descriptive

Brazil

Upper-middle

Medical records

2015

3078

141

4.5

Low

Dey 2017 [64]

Cross-sectional

India

Lower-middle

Direct observation

2016

875

100

11.4

Low

Dulfe 2016 [65]

Cross-sectional

Brazil

Upper-middle

Self-reported

2014

42

26

61.9

Moderate

Edqvist 2017 [66]

Prospective cohort

Sweden

High

Direct observation

2015

704

16

2.3

Low

Ejegard 2008 [67]

Case–control

Sweden

High

Self-reported

1999

206

39

18.9

Moderate

Fernandes 2017 [68]

Case–control

Brazil

Upper-middle

Medical records

2013

369

12

3.3

Low

Furrer 2015 [14]

Retrospective cohort

Switzerland

High

Medical records

2013

9743

919

9.4

Low

Garcia Cachafeiro 2017 [69]

Cross-sectional

Spain

High

Direct observation

2015

312

49

15.7

Moderate

Hasegawa 2014 [39]

Cross-sectional

Japan

High

Medical records

2012

347,771

38,973

11.2

Moderate

Hasegawa 2020 [40]

Cross-sectional

Japan

High

Medical records

2017

404,444

38,205

9.5

Moderate

Haslinger 2015 [70]

Retrospective cohort

Switzerland

High

Medical records

2011

7832

556

7.1

Low

Hayata 2019 [13]

Cross-sectional

Japan

High

Medical records

2017

1928

265

13.7

Low

Inagaki 2019 [71]

Cross-sectional

Brazil

Upper-middle

Medical records

2016

373

129

34.6

Low

Indraccolo 2016 [72]

Prospective cohort

Italy

High

Direct observation

2015

92

25

27.2

Moderate

Indraccolo 2017 [34]

Prospective cohort

Italy

High

Direct observation

2014

158

41

25.9

Moderate

Iyengar 2009 [42]

Cross-sectional

India

Lower-middle

Self-reported

2006

632

422

67.0

Moderate

Karaçam 2012 [73]

Randomised controlled trial

Turkey

Upper-middle

Direct observation

2009

396

167

42.2

Low

Karacam 2017 [74]

Cross-sectional

Turkey

Upper-middle

Direct observation

2014

303

83

27.4

Low

Kawasoe 2019 [75]

Case–control

Japan

High

Medical records

2016

462

48

10.4

Low

Lazzerini 2018 [76]

Cross-sectional

Italy

High

Self-reported

2018

807

106

13.1

Low

Leal 2019a [77]

Cross-sectional

Brazil

Upper-middle

Not specified

2017

5998

954

15.9

Moderate

Leal 2019b [77]

Cross-sectional

Brazil

Upper-middle

Not specified

2017

1096

235

21.4

Moderate

Lemos 2011 [78]

Cross-sectional

Brazil

Upper-middle

Direct observation

Not specified

33

12

36.4

Moderate

Leombroni 2019 [79]

Cross-sectional

Italy

High

Direct observation

2016

104

31

29.8

Moderate

Lima 2018 [80]

Cross-sectional

Brazil

Upper-middle

Not specified

2014

460

71

15.5

Low

Lopes 2019a [81]

Cross-sectional

Brazil

Upper-middle

Not specified

2012

293

25

8.5

Moderate

Lopes 2019b [81]

Cross-sectional

Brazil

Upper-middle

Not specified

2016

499

61

13.6

Moderate

Martins Franco Motta 2016 [82]

Cross-sectional

Brazil

Upper-middle

Not specified

2013

51

32

62.7

Moderate

Masuda 2020 [5]

Cross-sectional

Philippines

Lower-middle

Direct observation

2018

170

53

31.2

Low

Matsuo 2009 [15]

Cross-sectional

Japan

High

Medical records

2006

661

39

5.9

Low

Maves 2020 [83]

Descriptive

India

Lower-middle

Direct observation

2019

16

11

69.0

Moderate

Mohamed 2017 [84]

Cross-sectional

Egypt

Lower-middle

Direct observation

2017

672

428

63.1

Low

Moiety 2014 [16]

Cross-sectional

Egypt

Lower-middle

Direct observation

2011

8097

1974

24.4

Low

Mollberg 2005 [33]

Cross-sectional

Sweden

High

Medical records

1997

13,716

5236

38.2

Low

Mollberg 2007 [85]

Case–control

Sweden

High

Direct observation

2001

557

90

16.2

Low

Monguilhott 2018 [86]

Cross-sectional

Brazil

Upper-middle

Self-reported

2011

2070

571

27.6

Low

Okumus 2017 [87]

Descriptive

Turkey

Upper-middle

Medical records

2016

240

138

57.5

Moderate

Pazandeh 2015a [88]

Cross-sectional

Iran

Upper-middle

Direct observation

2012

24

16

66.7

Low

Pazandeh 2015b [88]

Cross-sectional

Iran

Upper-middle

Self-reported

2012

100

59

59.0

Low

Pifarotti 2014 [89]

Case–control

Italy

High

Medical records

2010

405

39

9.6

Low

Pinar 2018 [17]

Cross-sectional

Turkey

Upper-middle

Direct observation

2014

350

107

30.6

Low

Prado 2017 [90]

Cross-sectional

Brazil

Upper-middle

Self-reported

2016

456

145

31.7

Low

Raj 2017 [91]

Cross-sectional

India

Lower-middle

Self-reported

2015

2639

211

8.0

Low

Ratcliffe 2016 [92]

Cross-sectional

Tanzania

Low

Direct observation

2014

208

7

3.4

Moderate

Rathfisch 2011 [93]

Descriptive

Turkey

Upper-middle

Direct observation

Not specified

537

245

45.6

Low

Rohde 2016 [94]

Cross-sectional

Portugal

High

Self-reported

2015

468

165

35.0

Moderate

Ruiz de Vinaspre Hernandez 2013 [95]

Retrospective cohort

Spain

High

Medical records

2010

212

71

33.5

Low

Sandin-Bojo 2006 [96]

Cross-sectional

Sweden

High

Medical records

1999

192

25

13.0

Low

Santos 2016 [97]

Quasi-experimental before-and-after

Brazil

Upper-middle

Self-reported

2016

35

2

5.7

Moderate

Sehhati 2013 [98]

Descriptive

Iran

Upper-middle

Not specified

2012

499

153

30.7

Low

Sharma 2019 [99]

Cross-sectional

India

Lower-middle

Direct observation

2015

275

79

29.0

Low

Shimada 2013 [100]

Case–control

Japan

High

Medical records

2012

6317

634

10.0

Low

Skrablin 2011 [101]

Cross-sectional

Croatia

High

Direct observation

2010

205

35

17.1

Low

Sonoda 2012 [102]

Cross-sectional

Japan

High

Medical records

2009

761

68

8.9

Low

Sousa 2016 [103]

Cross-sectional

Brazil

Upper-middle

Not specified

2012

237

22

9.3

Low

Sturzenegger 2017 [104]

Retrospective cohort

Switzerland

High

Medical records

2013

17,957

1447

8.1

Low

Suzuki 2014 [105]

Cross-sectional

Japan

High

Medical records

2012

64

15

24.0

Low

Ukke 2019 [106]

Cross-sectional

Ethiopia

Low

Self-reported

2017

214

35

16.4

Low

Vora 2018 [107]

Cross-sectional

India

Lower-middle

Self-reported

2014

1616

259

16.0

Moderate