Cochrane · systematic review · CD000230

Zinc supplementation for improving pregnancy and infant outcome

Carducci, B, Keats, EC, Bhutta, ZA · Cochrane Database of Systematic Reviews · 2021 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 4 · 57.1%Moderate 2 · 28.6%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

Zinc supplementation compared to no zinc (with or without placebo) for improving pregnancy and infant outcome

Population: Pregnant women (healthy and probable zinc deficiency)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Preterm birth (< 37 weeks)
Zinc supplementation vs no zinc (with or without placebo)
RR 0.87 [0.74, 1.03]21 studies · 9851 participantsLow
Downgraded: imprecision
Stillbirth
Zinc supplementation vs no zinc (with or without placebo)
RR 1.22 [0.8, 1.88]7 studies · 3295 participantsLow
Downgraded: imprecision
Neonatal death
Zinc supplementation vs no zinc (with or without placebo)
RR 2.44 [0.4, 14.83]3 studies · 1965 participantsVery low
Downgraded: imprecision, inconsistency
Perinatal death
Zinc supplementation vs no zinc (with or without placebo)
RR 1.1 [0.81, 1.51]2 studies · 2489 participantsLow
Downgraded: imprecision
Birthweight
Zinc supplementation vs no zinc (with or without placebo)
no estimate extracted22 studies · 7977 participantsLow
Downgraded: imprecision
Small‐for‐gestational age or IUGR
Zinc supplementation vs no zinc (with or without placebo)
RR 1.02 [0.92, 1.12]9 studies · 5330 participantsModerate
Low Birthweight (< 2500 g)
Zinc supplementation vs no zinc (with or without placebo)
RR 0.94 [0.79, 1.13]17 studies · 7399 participantsModerate