Cochrane · systematic review · CD013446

Regimens of vitamin D supplementation for women during pregnancy

Palacios, C, Trak‐Fellermeier, MA, Martinez, RX, et al. · Cochrane Database of Systematic Reviews · 2019 · 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 6 · 75%Moderate 1 · 12.5%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

A dose of vitamin D 601 IU or higher compared to 600 IU or lower alone or with other nutrients for women during pregnancy

Population: women during pregnancy.
4 questions
OutcomeEffectEvidenceStatus / GRADE
Pre‐eclampsia
A dose of vitamin D 601 IU or higher vs 600 IU or lower alone or with other nutrients
RR 0.96 [0.65, 1.42]5 studies · 1553 participantsLow
Downgraded: risk of bias, imprecision
Gestational diabetes
A dose of vitamin D 601 IU or higher vs 600 IU or lower alone or with other nutrients
RR 0.54 [0.34, 0.86]5 studies · 1846 participantsModerate
Downgraded: risk of bias, imprecision
Preterm birth
A dose of vitamin D 601 IU or higher vs 600 IU or lower alone or with other nutrients
RR 1.25 [0.92, 1.69]4 studies · 2294 participantsLow
Downgraded: risk of bias, imprecision
Low birthweight
A dose of vitamin D 601 IU or higher vs 600 IU or lower alone or with other nutrients
RR 0.9 [0.66, 1.24]4 studies · 1550 participantsVery low
Downgraded: risk of bias, imprecision

A dose of vitamin D 4000 IU/d or more compared to 3999 IU/d or less alone or with any other nutrient for women during pregnancy

Population: women during pregnancy
4 questions
OutcomeEffectEvidenceStatus / GRADE
Pre‐eclampsia
A dose of vitamin D 4000 IU/d or more vs 3999 IU/d or less alone or with any other nutrient
RR 0.87 [0.62, 1.22]4 studies · 1903 participantsLow
Downgraded: risk of bias, imprecision
Gestational diabetes
A dose of vitamin D 4000 IU/d or more vs 3999 IU/d or less alone or with any other nutrient
RR 0.89 [0.56, 1.42]5 studies · 2276 participantsLow
Downgraded: risk of bias, imprecision
Preterm birth
A dose of vitamin D 4000 IU/d or more vs 3999 IU/d or less alone or with any other nutrient
RR 0.85 [0.64, 1.12]6 studies · 2948 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Low birthweight
A dose of vitamin D 4000 IU/d or more vs 3999 IU/d or less alone or with any other nutrient
RR 0.92 [0.49, 1.7]2 studies · 1099 participantsLow
Downgraded: risk of bias, imprecision, indirectness