Cochrane · systematic review · CD011192

Calcium supplementation commencing before or early in pregnancy, for preventing hypertensive disorders of pregnancy

Hofmeyr, GJ, Manyame, S, Medley, N, et al. · Cochrane Database of Systematic Reviews · 2019 · 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
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 11.1%Low 8 · 88.9%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

Calcium supplementation versus placebo (maternal outcomes) commencing before or early in pregnancy, for preventing hypertensive disorders of pregnancy

Population: women who are not yet pregnant and women in the early stages of pregnancy
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pre‐eclampsia
Calcium supplementation vs placebo (maternal outcomes) commencing before or early
RR 0.8 [0.61, 1.06]1 study · 579 participantsLow
Downgraded: imprecision
Pre‐eclampsia, or pregnancy loss, or stillbirth (or combination) at any gestational age
Calcium supplementation vs placebo (maternal outcomes) commencing before or early
RR 0.82 [0.66, 1]1 study · 633 participantsLow
Downgraded: risk of bias, imprecision
Severe maternal morbidity and mortality index
Calcium supplementation vs placebo (maternal outcomes) commencing before or early
RR 0.93 [0.68, 1.26]1 study · 579 participantsLow
Downgraded: imprecision
Pregnancy loss or stillbirth at any gestational age
Calcium supplementation vs placebo (maternal outcomes) commencing before or early
RR 0.83 [0.61, 1.14]1 study · 633 participantsLow
Downgraded: imprecision
Caesarean section
Calcium supplementation vs placebo (maternal outcomes) commencing before or early
RR 1.11 [0.96, 1.28]1 study · 578 participantsLow
Downgraded: imprecision

Calcium compared to placebo (offspring outcomes) commencing before or early in pregnancy, for preventing hypertensive disorders of pregnancy

Population: women who are not yet pregnant, and women in the early stages of pregnancy
4 questions
OutcomeEffectEvidenceStatus / GRADE
Birthweight < 2500 g
Calcium vs placebo (offspring outcomes) commencing before or early
RR 1 [0.76, 1.3]1 study · 507 participantsLow
Downgraded: imprecision
Apgar < 7 at 5 minutes
Calcium vs placebo (offspring outcomes) commencing before or early
RR 0.43 [0.15, 1.21]1 study · 494 participantsVery low
Downgraded: risk of bias, imprecision
Perinatal death, or NICU admission for > 24 hours (or both)
Calcium vs placebo (offspring outcomes) commencing before or early
RR 1.11 [0.77, 1.6]1 study · 508 participantsLow
Downgraded: imprecision
Pregnancy loss, stillbirth or NND before discharge
Calcium vs placebo (offspring outcomes) commencing before or early
RR 0.82 [0.61, 1.1]1 study · 632 participantsLow
Downgraded: risk of bias, imprecision