Cochrane · systematic review · CD010078

Pharmacological interventions for promoting smoking cessation during pregnancy

Claire, R, Chamberlain, C, Davey, MA, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Tobacco AddictionAMSTAR 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
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 83.3%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

Nicotine replacement therapy compared to control for smoking cessation during pregnancy

Population: pregnant women who smoke
3 questions
OutcomeEffectEvidenceStatus / GRADE
Biochemically validated smoking cessation at the latest point in pregnancy (20 weeks' gestation or more)
Nicotine replacement therapy vs control
RR 1.37 [1.08, 1.74]9 studies · 2336 participantsLow
Downgraded: risk of bias, imprecision
Mean birthweight (g)
Nicotine replacement therapy vs control
MD 99.737 studies · 2202 participantsLow
Downgraded: imprecision, inconsistency
Miscarriage and spontaneous abortion
Nicotine replacement therapy vs control
RR 1.6 [0.53, 4.83]5 studies · 1916 participantsLow
Downgraded: imprecision

Bupropion compared to control for smoking cessation during pregnancy

Population: pregnant women who smoke
3 questions
OutcomeEffectEvidenceStatus / GRADE
Biochemically validated smoking cessation at the latest point in pregnancy (20 weeks' gestation or more)
Bupropion vs control
RR 0.74 [0.21, 2.64]2 studies · 76 participantsLow
Downgraded: imprecision
Mean birthweight (g)
Bupropion vs control
MD 122.642 studies · 68 participantsLow
Downgraded: imprecision
Miscarriage and spontaneous abortion
Bupropion vs control
no estimate extractedNRNo studies