Cochrane · systematic review · CD004659

Antiplatelet agents for preventing pre‐eclampsia and its complications

Duley, L, Meher, S, Hunter, KE, 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 2 · 28.6%High 5 · 71.4%

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

Comparison

Population: pregnant women considered to be at risk of developing pre‐eclampsia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Proteinuric pre‐eclampsia
RR 0.82 [0.77, 0.88]60 studies · 36716 participantsHigh
Any reported infant death (fetal, neonatal, or before hospital discharge
RR 0.85 [0.76, 0.95]52 studies · 35391 participantsHigh
Preterm birth (before 37 weeks' gestation)
RR 0.91 [0.87, 0.95]47 studies · 35212 participantsHigh
Small‐for‐gestational age
RR 0.84 [0.76, 0.92]50 studies · 35761 participantsHigh
Pregnancy with serious adverse outcome (composite including maternal death, baby death, pre‐eclampsia, small‐for‐gestational age, preterm birth) ‐ only trials with individual participant data
RR 0.9 [0.85, 0.96]13 studies · 17382 participantsHigh
Postpartum haemorrhage > 500 mL
RR 1.06 [1, 1.12]19 studies · 23769 participantsModerate
Downgraded: imprecision, inconsistency
Placental abruption
RR 1.21 [0.95, 1.54]29 studies · 30775 participantsModerate
Downgraded: imprecision, inconsistency