Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

625 questions · 647 findings · 67 reviews · Pregnancy and Childbirth

No studies found 83 · 12.8%GRADE not reported 70 · 10.8%Very low 141 · 21.8%Low 227 · 35.1%Moderate 97 · 15%High 29 · 4.5%

Calcium supplementation/fortification vs placebo (outcomes

Pre‐eclampsia · women who are not yet pregnant and women in the early stages of pregnancy

Calcium supplementation showed no clear difference in pre‐eclampsia compared with placebo (maternal outcomes) commencing before or early (low certainty).

1 finding from 1 review

Calcium supplementation/fortification vs placebo (outcomes

Pre‐eclampsia, or pregnancy loss, or stillbirth (or combination) at any gestational age · women who are not yet pregnant and women in the early stages of pregnancy

Calcium supplementation showed no clear difference in pre‐eclampsia, or pregnancy loss, or stillbirth (or combination) at… compared with placebo (maternal outcomes) commencing before or early (low certainty).

1 finding from 1 review

Calcium supplementation/fortification vs placebo (outcomes

Severe maternal morbidity and mortality index · women who are not yet pregnant and women in the early stages of pregnancy

Calcium supplementation showed no clear difference in severe maternal morbidity and mortality index compared with placebo (maternal outcomes) commencing before or early (low certainty).

1 finding from 1 review

Calcium supplementation/fortification vs placebo (outcomes

Pregnancy loss or stillbirth at any gestational age · women who are not yet pregnant and women in the early stages of pregnancy

Calcium supplementation showed no clear difference in pregnancy loss or stillbirth at any gestational age compared with placebo (maternal outcomes) commencing before or early (low certainty).

1 finding from 1 review

Calcium supplementation/fortification vs placebo (outcomes

Caesarean section · women who are not yet pregnant and women in the early stages of pregnancy

Calcium supplementation showed no clear difference in caesarean section compared with placebo (maternal outcomes) commencing before or early (low certainty).

1 finding from 1 review

Calcium vs placebo (offspring outcomes) commencing before or early

Low birthweight · women who are not yet pregnant and women in the early stages of pregnancy

Calcium showed no clear difference in birthweight < 2500 g compared with placebo (offspring outcomes) commencing before or early (low certainty).

1 finding from 1 review

Calcium vs placebo (offspring outcomes) commencing before or early

Apgar score less than 7 at 5 minutes · women who are not yet pregnant and women in the early stages of pregnancy

It is very uncertain whether calcium changes apgar < 7 at 5 minutes compared with placebo (offspring outcomes) commencing before or early (very low certainty).

1 finding from 1 review

Calcium vs placebo (offspring outcomes) commencing before or early

Perinatal death, or NICU admission for > 24 hours (or both) · women who are not yet pregnant and women in the early stages of pregnancy

Calcium showed no clear difference in perinatal death, or NICU admission for > 24 hours (or both) compared with placebo (offspring outcomes) commencing before or early (low certainty).

1 finding from 1 review

Calcium vs placebo (offspring outcomes) commencing before or early

Pregnancy loss, stillbirth or neonatal death before discharge · women who are not yet pregnant and women in the early stages of pregnancy

Calcium showed no clear difference in pregnancy loss, stillbirth or NND before discharge compared with placebo (offspring outcomes) commencing before or early (low certainty).

1 finding from 1 review

Intramuscular (IM) progesterone vs no treatment or placebo

Preterm birth less than 34 weeks' gestation · Women with a multiple pregnancy

Intramuscular (IM) progesterone may leads to higher preterm birth less than 34 weeks compared with no treatment or placebo (low certainty).

1 finding from 1 review

Intramuscular (IM) progesterone vs no treatment or placebo

Preterm birth less than 28 weeks · Women with a multiple pregnancy

Intramuscular (IM) progesterone showed no clear difference in preterm birth less than 28 weeks compared with no treatment or placebo (moderate certainty).

1 finding from 1 review