Comparative Effectiveness of Physical Interventions for Preventing Perineal Trauma

A systematic review and Bayesian network meta-analysis of 31 randomized controlled trials involving 10,745 participants across 15 countries, primarily primiparous women in high-resource settings. The dataset, authored by Linli Xu and last updated in April 2026, compares physical interventions like massage, warm compresses, and pelvic floor exercise for preventing perineal trauma during vaginal delivery.

Use Cases

• Ranking intervention efficacy for preventing perineal lacerations based on reported relative risks and SUCRA values.
• Comparing the effectiveness of combined interventions (e.g., massage with warm compresses) for episiotomy prevention.
• Analyzing the safety profile of physical interventions for neonatal outcomes as described in the meta-analysis.
• Evaluating the exploratory findings on severe perineal pain reduction associated with specific interventions like warm compresses.

Strengths

• Analysis is based on 31 randomized controlled trials, a substantial evidence base for meta-analysis.
• Includes data from 10,745 participants, providing a large sample size for statistical comparison.
• Uses Bayesian network meta-analysis and SUCRA ranking, which are advanced statistical methods for comparative effectiveness.
• Explicitly reports relative risks and 95% credible intervals for key outcomes like intact perineum promotion.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• The dataset is very small (13.3 KB), indicating limited raw data scope, likely containing summary tables.
• The description notes findings for pain outcomes are exploratory due to sparse network structures and wide credible intervals.

Provenance

Source

figshare, authored by Linli Xu.

Collection Method

Systematic review and Bayesian network meta-analysis of randomized controlled trials from PubMed, Web of Science, Embase, and Cochrane CENTRAL.

Freshness

Last updated 2026-04-07 05:31:07; freshness should be verified.

Geography

Studies from 15 countries, with participants primarily from high-resource settings.