Cochrane · systematic review · CD000493

Pharmacological interventions for treating intrahepatic cholestasis of pregnancy

Walker, KF, Chappell, LC, Hague, WM, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 66.7%Low 0 · 0%Moderate 1 · 33.3%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

Ursodeoxycholic acid (UDCA) versus placebo

Population: pregnant women with intrahepatic cholestasis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Pruritus score* (points out of 100 mm visual analogue scale)
Ursodeoxycholic acid (UDCA) vs placebo
no estimate extracted2 studies · 715 participantsModerate
Downgraded: imprecision
Stillbirth
Ursodeoxycholic acid (UDCA) vs placebo
RR 0.33 [0.08, 1.37]6 studies · 955 participantsVery low
Downgraded: risk of bias, imprecision
Fetal distress/asphyxial events
Ursodeoxycholic acid (UDCA) vs placebo
RR 0.7 [0.35, 1.4]6 studies · 944 participantsVery low
Downgraded: risk of bias, imprecision