Cochrane · systematic review · CD008666

Vitamin A supplementation during pregnancy for maternal and newborn outcomes

McCauley, ME, van den Broek, N, Dou, L, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
10
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 10%Very low 0 · 0%Low 5 · 50%Moderate 1 · 10%High 3 · 30%

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

Current version only

Vitamin A alone versus placebo or no treatment

Population: Pregnant women
CD008666.PUB3 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal mortality
Vitamin A alone vs placebo or no treatment
RR 0.88 [0.65, 1.2]4 studies · 154039 participantsHigh
Perinatal mortality
Vitamin A alone vs placebo or no treatment
RR 1.01 [0.95, 1.07]1 study · 76176 participantsHigh
Maternal anaemia
Vitamin A alone vs placebo or no treatment
RR 0.64 [0.43, 0.94]3 studies · 15649 participantsModerate
Downgraded: risk of bias, inconsistency
Maternal clinical infection
Vitamin A alone vs placebo or no treatment
RR 0.45 [0.2, 0.99]5 studies · 17313 participantsLow
Downgraded: risk of bias, inconsistency
Preterm birth
Vitamin A alone vs placebo or no treatment
RR 0.98 [0.94, 1.01]5 studies · 48007 participantsHigh

Combination vitamin A and micronutrients for maternal and newborn mortality and morbidity

Population: Pregnant women
CD008666.PUB3 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal mortality
no estimate extracted0 studies · 0 participantsUngraded
Perinatal mortality
RR 0.51 [0.1, 2.69]1 study · 179 participantsLow
Downgraded: imprecision
Maternal anaemia
RR 0.86 [0.68, 1.09]3 studies · 706 participantsLow
Downgraded: imprecision
Maternal clinical infection
RR 0.95 [0.8, 1.13]2 studies · 597 participantsLow
Downgraded: imprecision
Preterm birth
RR 0.39 [0.08, 1.93]1 study · 136 participantsLow
Downgraded: imprecision

Vitamin A for maternal and newborn mortality and morbidity

Population: Pregnant women
CD008666.PUB2 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal mortality
RR 0.78 [0.55, 1.1]3 studies · 94373 participantsHigh
Perinatal mortality
RR 1.01 [0.95, 1.07]1 study · 76176 participantsHigh
Preterm birth
RR 0.77 [0.57, 1.04]4 studies · 1937 participantsLow
Maternal anaemia
RR 0.64 [0.43, 0.94]3 studies · 2401 participantsHigh
Maternal infection
RR 0.37 [0.18, 0.77]3 studies · 1458 participantsLow
Downgraded: risk of bias

Combination vitamin A and micronutrients for maternal and newborn mortality and morbidity

Population: Pregnant women
CD008666.PUB2 · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal mortality
no estimate extracted0 studies · 0 participantsUngraded
Perinatal mortality
no estimate extracted0 studies · 0 participantsUngraded
Preterm birth
RR 0.39 [0.08, 1.93]1 study · 136 participantsVery low
Downgraded: risk of bias, publication bias
Maternal anaemia
RR 0.86 [0.68, 1.09]3 studies · 706 participantsLow
Downgraded: risk of bias
Maternal infection
no estimate extracted0 studies · 0 participantsUngraded