Cochrane · systematic review · CD000198
Support during pregnancy for women at increased risk of low birthweight babies
East, CE, Biro, MA, Fredericks, S, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 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
10
current version
GRADE rated
9
No studies
1
Included studies
NR
No studies 1 · 10%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 20%Moderate 7 · 70%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
Additional support compared to usual care during pregnancy in women at increased risk of low birthweight babies: fetal/neonatal/infant outcomes
Population: women at increased risk of low birthweight babies (fetal/neonatal/infant outcomes)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Birthweight < 2500 g Additional support vs usual care during pregnancy | RR 0.94 [0.86, 1.04] | 16 studies · 11770 participants | Moderate Downgraded: risk of bias |
Gestational age < 37 weeks at birth Additional support vs usual care during pregnancy | RR 0.92 [0.84, 1.01] | 14 studies · 12282 participants | Moderate Downgraded: risk of bias |
Stillbirth/neonatal death Additional support vs usual care during pregnancy | RR 1.11 [0.88, 1.41] | 15 studies · 12091 participants | Low Downgraded: risk of bias |
Long‐term morbidity Additional support vs usual care during pregnancy | no estimate extracted | NR | No studies |
Additional support compared to usual care during pregnancy in women at increased risk of low birthweight babies: maternal outcomes
Population: women at increased risk of low birthweight babies (maternal outcomes)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Caesarean section Additional support vs usual care during pregnancy | RR 0.9 [0.83, 0.97] | 15 studies · 9550 participants | Moderate Downgraded: risk of bias |
Antenatal hospital admissions Number of admissions per woman Additional support vs usual care during pregnancy | RR 0.78 [0.68, 0.91] | 4 studies · 787 participants | Moderate Downgraded: risk of bias |
Antenatal hospital admissions Mean hospitalisation episodes Additional support vs usual care during pregnancy | no estimate extracted | 1 study · 1525 participants | Moderate Downgraded: risk of bias |
Postnatal depression Self‐reported Additional support vs usual care during pregnancy | RR 0.85 [0.69, 1.05] | 1 study · 458 participants | Low Downgraded: risk of bias |
Postnatal depression Positive EPDS score Additional support vs usual care during pregnancy | RR 0.74 [0.55, 1.01] | 1 study · 1008 participants | Moderate Downgraded: risk of bias, imprecision |
Satisfaction with pregnancy care Pregnancy care rated as "very helpful" Additional support vs usual care during pregnancy | RR 1.17 [1.05, 1.3] | 1 study · 223 participants | Moderate Downgraded: risk of bias |