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Table 1 Quality assessment of trials of multiple micronutrient supplementation for maternal and pregnancy outcomes (Multiple micronutrients versus iron folate)

From: Effect of multiple micronutrient supplementation during pregnancy on maternal and birth outcomes

 

Quality Assessment

Summary of Findings

    

Directness

No of events

 

No of studies (ref)

Design

Limitations

Consistency

Generalizability to population of interest

Generalizability to intervention of interest

Intervention

Control

Relative Risk (95% CI)

Maternal Anaemia: High outcome specific quality

4

cRCT/RCT

Some – high loss to follow-up and inadequate power (-0.5)

Heterogeneity in the meta-analysis = 50%. 2/4 studies showing benefit (-0.5)

All in developing countries

Generalizable

351

336

1.03 (0.87 - 1.22), random model a

Small-for-gestational age: High outcome specific quality

14

cRCT/RCT

Some – high loss to follow-up, inadequate power, missing data (compliance), one study with a co-intervention (-0.5)

Consistent with 13/14 studies showing benefit

All in developing countries

Generalizable

2289

2494

0.91 (0.86, 0.96), fixed model a

Neonatal mortality: High outcome specific quality

9

cRCT/RCT

Some - inadequate power of the studies (-0.5)

7/9 studies giving a risk ratio of greater than 1

All in developing countries

Generalizable

558

513

1.05 (0.92, 1.19), fixed model a

  1. a = generic inverse variance