Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

18 questions · 18 findings · 13 reviews · Pregnancy and Childbirth

No studies found 1 · 5.6%GRADE not reported 2 · 11.1%Very low 1 · 5.6%Low 8 · 44.4%Moderate 5 · 27.8%High 1 · 5.6%

Lower genital tract infection screening vs No screening

Preterm low birthweight (below or equal 2500 g) · pregnant women presenting for routine prenatal care

Lower genital tract infection screening probably leads to lower preterm low birthweight (below or equal 2500 g) compared with no screening (moderate certainty).

1 finding from 1 review

Summary of findings table ‐ Vitamin B12 supplementation vs no supplementation or placebo

Low birthweight · pregnant women

Summary of findings table ‐ Vitamin B12 supplementation showed no clear difference in low birthweight (< 2500 g) compared with placebo/no vitamin B12 supplementation (low certainty).

1 finding from 1 review

Calcium supplementation/fortification vs placebo or no intervention

Low birthweight · healthy pregnant women receiving calcium supplementation vs placebo or no treatment

Calcium supplementation showed no clear difference in low birthweight (< 2500 g) compared with placebo or no treatment (maternal outcomes) (moderate certainty).

1 finding from 1 review

Outcomes for all interventions for smoking cessation in pregnancy vs control: subgrouped by main intervention strategy (comparison 20)

Birthweight < 2500 (g) · Pregnant women who smoke

Outcomes for all interventions for smoking cessation in pregnancy leads to lower low birthweight (under 2500 g) compared with control: subgrouped by main intervention strategy (comparison 20) (high certainty).

1 finding from 1 review

Vitamin D + calcium + other vitamins and minerals vs calcium + other vitamins and minerals (but no vitamin D)

Low birthweight · pregnant women and their infants..

Vitamin D + calcium + other vitamins and minerals showed no clear difference in low birthweight (less than 2500 g) compared with calcium + other vitamins and minerals (but no vitamin D) (low certainty).

1 finding from 1 review

Any intermittent iron regimen (with or without other vitamins and minerals) vs daily regimen (with same vitamins and minerals)‐maternal outcomes

Low birthweight · Women receiving supplements in pregnancy

Any intermittent iron regimen (with or without other vitamins and… showed no clear difference in low birthweight (less than 2500 g) compared with daily regimen (with same vitamins and minerals)‐infant outcomes (low certainty).

1 finding from 1 review

Any supplements containing iron vs same supplements without iron or no treatment/placebo (no iron or placebo)

Low birthweight · pregnant women

(Infant outcomes) Any supplements containing iron showed no clear difference in low birthweight (less than 2500 g) (ALL) compared with same supplements without iron or no treatment/placebo (no iron or… (low certainty).

1 finding from 1 review

Any supplements containing iron and folic acid vs same supplements without iron nor folic acid (no iron nor folic acid or placebo)

Low birthweight · pregnant women

(Infant outcomes) Any supplements containing iron and folic acid showed no clear difference in low birthweight (less than 2500 g) (ALL) compared with same supplements without iron nor folic acid (no iron nor folic acid… (low certainty).

1 finding from 1 review

Routine fetal movement counting vs mixed or undefined fetal movement counting

Low birthweight (< 2500 g or < 10th centile) · Pregnant women who had reached the gestational age of fetal viability

Routine fetal movement counting showed no clear difference in low birthweight (< 2500 g or < 10th centile) compared with mixed or undefined fetal movement counting (low certainty).

1 finding from 1 review

Intervention not reported

Low birthweight (less than 2500 g) ‐ assuming independence between twins/triplets · women with multiple pregnancy

The intervention showed no clear difference in low birthweight (less than 2500 g) ‐ assuming independence between… (low certainty).

1 finding from 1 review