Cochrane · systematic review · CD000032

Antenatal dietary education and supplementation to increase energy and protein intake

Ota, E, Hori, H, Mori, R, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Pregnancy and Childbirth2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
20
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 8 · 28.6%Very low 4 · 14.3%Low 11 · 39.3%Moderate 5 · 17.9%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Nutritional education compared with no counselling or education during pregnancy for perinatal outcomes

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Perinatal mortality
Nutritional education vs no counselling or education during pregnancy
no estimate extracted0 studies · 0 participantsUngraded
Stillbirth
Nutritional education vs no counselling or education during pregnancy
RR 0.37 [0.07, 1.9]1 study · 431 participantsLow
Downgraded: imprecision
Neonatal death
Nutritional education vs no counselling or education during pregnancy
RR 1.28 [0.35, 4.72]1 study · 448 participantsLow
Downgraded: imprecision
Small‐for‐gestational age
Nutritional education vs no counselling or education during pregnancy
RR 0.97 [0.45, 2.11]1 study · 404 participantsLow
Downgraded: imprecision
Preterm birth
Nutritional education vs no counselling or education during pregnancy
RR 0.46 [0.21, 0.98]2 studies · 449 participantsLow
Downgraded: imprecision
Birthweight (g)
Nutritional education vs no counselling or education during pregnancy
no estimate extracted2 studies · 320 participantsLow
Downgraded: imprecision
Total gestational weight gain (kg)
Nutritional education vs no counselling or education during pregnancy
no estimate extracted2 studies · 233 participantsVery low
Downgraded: imprecision

Balanced protein and energy supplementation compared with control or no intervention in pregnancy for perinatal and maternal outcomes

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Perinatal mortality
Balanced protein and energy supplementation vs control or no intervention
no estimate extracted0 studies · 0 participantsUngraded
Stillbirth
Balanced protein and energy supplementation vs control or no intervention
RR 0.6 [0.39, 0.94]5 studies · 3408 participantsModerate
Neonatal death
Balanced protein and energy supplementation vs control or no intervention
RR 0.68 [0.43, 1.07]5 studies · 3381 participantsLow
Downgraded: imprecision
Small‐for‐gestational age
Balanced protein and energy supplementation vs control or no intervention
RR 0.79 [0.69, 0.9]7 studies · 4408 participantsModerate
Preterm birth
Balanced protein and energy supplementation vs control or no intervention
RR 0.96 [0.8, 1.16]5 studies · 3384 participantsModerate
Birthweight (g)
Balanced protein and energy supplementation vs control or no intervention
no estimate extracted11 studies · 5385 participantsModerate
Weekly gestational weight gain (g/week)
Balanced protein and energy supplementation vs control or no intervention
no estimate extracted9 studies · 2391 participantsVery low
Downgraded: imprecision

High‐protein supplementation in pregnancy and perinatal outcomes

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Perinatal mortality
no estimate extracted0 studies · 0 participantsUngraded
Stillbirth
RR 0.81 [0.31, 2.15]1 study · 529 participantsLow
Downgraded: imprecision
Neonatal death
RR 2.78 [0.75, 10.36]1 study · 529 participantsLow
Downgraded: imprecision
Small‐for‐gestational age
RR 1.58 [1.03, 2.41]1 study · 505 participantsModerate
Downgraded: imprecision
Preterm birth
RR 1.14 [0.83, 1.56]1 study · 505 participantsLow
Downgraded: imprecision
Birthweight (g)
no estimate extracted1 study · 504 participantsLow
Downgraded: imprecision
Weekly gestational weight gain (g)
no estimate extracted1 study · 486 participantsLow
Downgraded: imprecision

Isocaloric balanced protein supplementation in pregnancy and outcomes

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Perinatal mortality
no estimate extracted0 studies · 0 participantsUngraded
Stillbirth
no estimate extracted0 studies · 0 participantsUngraded
Neonatal death
no estimate extracted0 studies · 0 participantsUngraded
Small‐for‐gestational age
no estimate extracted0 studies · 0 participantsUngraded
Preterm birth
no estimate extracted0 studies · 0 participantsUngraded
Birthweight (g)
no estimate extracted2 studies · 184 participantsVery low
Downgraded: imprecision, inconsistency
Weekly gestational weight gain (g/week)
no estimate extracted2 studies · 184 participantsVery low
Downgraded: imprecision, inconsistency