Cochrane · systematic review · CD010655

Interventions for leg cramps in pregnancy

Luo, L, Zhou, K, Zhang, J, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
17
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 5.9%Very low 6 · 35.3%Low 10 · 58.8%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

Show all 2 versions

Oral magnesium compared with placebo/no treatment for treating leg cramps in pregnancy

Population: treating leg cramps in pregnancy
13 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency of leg cramps during treatment
Oral magnesium vs placebo/no treatment
no estimate extracted1 study · 38 participantsLow
Downgraded: imprecision
Frequency of leg cramps after treatment: never
Oral magnesium vs placebo/no treatment
RR 5.66 [1.35, 23.68]1 study · 69 participantsLow
Downgraded: imprecision
Frequency: 50% reduction in number of leg cramps
Oral magnesium vs placebo/no treatment
RR 1.42 [1.09, 1.86]1 study · 86 participantsLow
Downgraded: imprecision
Intensity of pain during treatment: mean total scale points The degree of pain was noted in the form, on a scale from 0 to 4 measured over 4 days and nights (0 = no pain, 1 = light pain, 2 = medium pain, 3=strong pain, 4=extreme pain)
Oral magnesium vs placebo/no treatment
no estimate extracted1 study · 38 participantsLow
Downgraded: imprecision
Intensity of pain: 50% reduction in pain score 100‐mm visual analogue scale (0 = no pain, 100 = worst pain)
Oral magnesium vs placebo/no treatment
RR 1.43 [0.99, 2.06]1 study · 86 participantsVery low
Downgraded: imprecision
Intensity of pain: visual analogue scale 100 mm Visual analogue scale where 0=insignificant and 100 = extremely painful.
Oral magnesium vs placebo/no treatment
no estimate extracted1 study · 69 participantsLow
Downgraded: imprecision
Duration of leg cramps: persisting symptoms after night‐time cramps Always
Oral magnesium vs placebo/no treatment
RR 0.23 [0.05, 0.98]1 study · 69 participantsLow
Downgraded: imprecision
Duration of leg cramps: persisting symptoms after night‐time cramps Sometimes
Oral magnesium vs placebo/no treatment
RR 0.59 [0.19, 1.83]1 study · 69 participantsVery low
Downgraded: imprecision
Composite outcome: symptoms of leg cramps (intensity and frequency) Partial improvement: decrease in intensity and frequency
Oral magnesium vs placebo/no treatment
RR 1.07 [0.71, 1.61]1 study · 42 participantsVery low
Downgraded: imprecision
Composite outcome: symptoms of leg cramps (intensity and frequency) Complete recovery: no leg cramps after treatment
Oral magnesium vs placebo/no treatment
RR 3 [0.68, 13.2]1 study · 42 participantsVery low
Downgraded: imprecision
Side effects ‐ nausea
Oral magnesium vs placebo/no treatment
RR 1.83 [0.75, 4.51]1 study · 86 participantsLow
Downgraded: imprecision
Side effects ‐ diarrhoea
Oral magnesium vs placebo/no treatment
RR 6 [0.75, 47.76]1 study · 86 participantsLow
Downgraded: imprecision
Side effects ‐ any
Oral magnesium vs placebo/no treatment
RR 0.96 [0.36, 2.52]1 study · 45 participantsLow
Downgraded: imprecision

Oral calcium compared with no treatment for treating leg cramps in pregnancy

Population: treating leg cramps in pregnancy
2 questions
OutcomeEffectEvidenceStatus / GRADE
Frequency of leg cramps after treatment: never
Oral calcium vs no treatment
RR 8.59 [1.19, 62.07]1 study · 43 participantsVery low
Frequency of leg cramps after treatment
Oral calcium vs no treatment
no estimate extracted1 study · 60 participantsLow
Downgraded: risk of bias, imprecision

Oral vitamin B compared with no treatment for treating leg cramps in pregnancy

Population: treating leg cramps in pregnancy
1 question
OutcomeEffectEvidenceStatus / GRADE
Frequency of leg cramps after treatment
Oral vitamin B vs no treatment
no estimate extracted0 studies · 0 participantsUngraded

Oral calcium compared with oral vitamin C for leg cramps in pregnancy

Population: leg cramps in pregnancy
1 question
OutcomeEffectEvidenceStatus / GRADE
Frequency of leg cramps after treatment: never
Oral calcium vs oral vitamin C
RR 1.33 [0.53, 3.38]1 study · 60 participantsVery low