Cochrane · systematic review · CD007346

Safety of topical corticosteroids in pregnancy

Chi, CC, Wang, SH, Wojnarowska, F, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Skin2 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
19
current version
GRADE rated
19
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 10.5%Low 17 · 89.5%Moderate 0 · 0%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

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Topical corticosteroids compared with no topical corticosteroids for pregnant women

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mode of delivery (risk for either assisted or cesarean delivery)
Topical corticosteroids vs no topical corticosteroids
RR 1.049904 participantsLow
Downgraded: imprecision, inconsistency
Congenital abnormality
Topical corticosteroids vs no topical corticosteroids
RR 0.829433 participantsLow
Downgraded: imprecision, inconsistency
Orofacial cleft
Topical corticosteroids vs no topical corticosteroids
RR 1.1240605 participantsLow
Downgraded: imprecision, inconsistency
Low birth weight
Topical corticosteroids vs no topical corticosteroids
RR 1.0859419 participantsVery low
Downgraded: imprecision, inconsistency
Preterm delivery
Topical corticosteroids vs no topical corticosteroids
RR 0.9359419 participantsLow
Downgraded: imprecision, inconsistency
Foetal death
Topical corticosteroids vs no topical corticosteroids
RR 1.0263885 participantsVery low
Downgraded: imprecision, inconsistency
Low Apgar score
Topical corticosteroids vs no topical corticosteroids
RR 0.849220 participantsLow
Downgraded: imprecision, inconsistency

Mild/moderate topical corticosteroids versus no topical corticosteroids for pregnant women

Population: pregnant women
6 questions
OutcomeEffectEvidenceStatus / GRADE
Congenital abnormality
Mild/moderate topical corticosteroids vs no topical corticosteroids
RR 0.939263 participantsLow
Orofacial cleft
Mild/moderate topical corticosteroids vs no topical corticosteroids
RR 0.9538446 participantsLow
Low birth weight
Mild/moderate topical corticosteroids vs no topical corticosteroids
RR 0.955713 participantsLow
Preterm delivery
Mild/moderate topical corticosteroids vs no topical corticosteroids
RR 0.8855713 participantsLow
Foetal death
Mild/moderate topical corticosteroids vs no topical corticosteroids
RR 0.748749 participantsLow
Low Apgar score
Mild/moderate topical corticosteroids vs no topical corticosteroids
RR 0.738756 participantsLow

Potent/very potent topical corticosteroids compared with no topical corticosteroids for pregnant women

Population: pregnant women
6 questions
OutcomeEffectEvidenceStatus / GRADE
Congenital abnormality
Potent/very potent topical corticosteroids vs no topical corticosteroids
RR 0.569342 participantsLow
Orofacial cleft
Potent/very potent topical corticosteroids vs no topical corticosteroids
RR 1.536348 participantsLow
Low birth weight
Potent/very potent topical corticosteroids vs no topical corticosteroids
RR 1.5847651 participantsLow
Preterm delivery
Potent/very potent topical corticosteroids vs no topical corticosteroids
RR 1.0547651 participantsLow
Foetal death
Potent/very potent topical corticosteroids vs no topical corticosteroids
RR 1.1437086 participantsLow
Low Apgar score
Potent/very potent topical corticosteroids vs no topical corticosteroids
RR 1.037514 participantsLow