Cochrane · systematic review · CD009708

Ambroxol for women at risk of preterm birth for preventing neonatal respiratory distress syndrome

Gonzalez Garay, AG, Reveiz, L, Velasco Hidalgo, L, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 12.5%Low 5 · 62.5%Moderate 2 · 25%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

Ambroxol versus corticosteroid (betamethasone) for women at risk of preterm birth for preventing neonatal respiratory distress syndrome

Population: pregnant women at risk of preterm birth for preventing neonatal respiratory distress syndrome
3 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of RDS frequency in newborns
Ambroxol vs corticosteroid (betamethasone)
RR 0.79 [0.59, 1.07]7 studies · 758 participantsModerate
Perinatal mortality frequency of deaths of newborns
Ambroxol vs corticosteroid (betamethasone)
RR 0.51 [0.23, 1.12]6 studies · 657 participantsModerate
Adverse effects in pregnant women frequency in pregnant women
Ambroxol vs corticosteroid (betamethasone)
RR 3.45 [0.34, 35.51]3 studies · 305 participantsVery low
Downgraded: inconsistency

Ambroxol versus placebo or no treatment for women at risk of preterm birth for preventing neonatal respiratory distress syndrome

Population: pregnant women at risk of preterm birth for preventing neonatal respiratory distress syndrome
5 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of RDS frequency in newborns
Ambroxol vs placebo or no treatment
RR 0.74 [0.46, 1.2]2 studies · 204 participantsLow
Downgraded: inconsistency
Perinatal mortality frequency of deaths of newborns
Ambroxol vs placebo or no treatment
RR 0.61 [0.19, 1.98]1 study · 116 participantsLow
Downgraded: inconsistency
Adverse effects in pregnant women frequency in pregnant women
Ambroxol vs placebo or no treatment
RR 1.79 [0.45, 7.13]1 study · 116 participantsLow
Downgraded: inconsistency
Other events in newborns ‐ Administration of pulmonary surfactant frequency in newborns
Ambroxol vs placebo or no treatment
RR 1.19 [0.61, 2.3]1 study · 88 participantsLow
Downgraded: inconsistency
Other events in newborns ‐ Need for mechanical ventilation frequency inf newborns
Ambroxol vs placebo or no treatment
RR 0.94 [0.73, 1.21]1 study · 88 participantsLow
Downgraded: inconsistency