Quality appraisal of guidelines on umbilical cord prolapse with AGREE
II: a systematic review
Background: Umbilical cord prolapse is an obstetric emergency that
warrants urgent intervention. Although the incidence is low, it carries
a high rate of fetal morbidity and mortality. Quality appraisal of well-
developed practice guidelines provides clinicians with a framework for
good clinical practice. Objective: To assess the quality of clinical
practice guidelines on umbilical cord prolapse using AGREE II
instrument-2010. Search strategy: A systematic review employing the
principles of PRISMA 2020 was done to identify suitable practice
guidelines available in digital databases from inception till 2021.
Selection criteria: Practice guidelines on management of umbilical cord
prolapse in English which have rigorous methodology of development and
is between 2010-2021 were selected for the appraisal. Data collection
and analysis: Selected guidelines were appraised utilizing the AGREE-II
- 2010 instrument Results: Three practice guidelines were fulfilled the
selection criteria. Two of the three guidelines were assigned sufficient
scores based on the domains for quality appraisal, though they require
further modifications. Conclusions: Practice guidelines on management of
umbilical cord prolapse developed by the RCOG and RCPI achieved
sufficient scores to be recommended for use in clinical practice.
Professionals should provide patient care based on practice points
tailored to patients’ characteristics and resource availability.
Keywords: umbilical cord prolapse, guidelines, clinical practice
guidelines, quality appraisal Tweetable abstract: AGREE II was used to
assess the quality of CPGs on umbilical CP, of which RCOG and RCPI
guidelines were recommended.