Cochrane · systematic review · CD013823

Vitamin B12 supplementation during pregnancy for maternal and child health outcomes

Finkelstein, JL, Fothergill, A, Venkatramanan, S, et al. · Cochrane Database of Systematic Reviews · 2024 · 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 3 · 42.9%Low 3 · 42.9%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

Summary of findings table ‐ Vitamin B12 supplementation compared to placebo/no vitamin B12 supplementation in pregnant women

Population: pregnant women
7 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal anaemia
Summary of findings table ‐ Vitamin B12 supplementation vs placebo/no vitamin B12 supplementation
RR 1.08 [0.93, 1.26]2 studies · 284 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Maternal vitamin B12 deficiency
Summary of findings table ‐ Vitamin B12 supplementation vs placebo/no vitamin B12 supplementation
RR 0.38 [0.28, 0.51]2 studies · 272 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Spontaneous abortion or miscarriage
Summary of findings table ‐ Vitamin B12 supplementation vs placebo/no vitamin B12 supplementation
no estimate extracted2 studies · 448 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Low birthweight (< 2500 g)
Summary of findings table ‐ Vitamin B12 supplementation vs placebo/no vitamin B12 supplementation
RR 1.5 [0.93, 2.43]2 studies · 334 participantsLow
Downgraded: risk of bias, imprecision
Preterm birth (< 37 weeks)
Summary of findings table ‐ Vitamin B12 supplementation vs placebo/no vitamin B12 supplementation
RR 0.97 [0.55, 1.74]2 studies · 340 participantsLow
Downgraded: risk of bias, imprecision
Child cognitive outcomes
Summary of findings table ‐ Vitamin B12 supplementation vs placebo/no vitamin B12 supplementation
no estimate extracted1 study · 178 participantsLow
Downgraded: imprecision, inconsistency
Neural tube defects ‐ not reported
Summary of findings table ‐ Vitamin B12 supplementation vs placebo/no vitamin B12 supplementation
no estimate extractedNRNo studies