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Table 2 Quality assessment of studies of balanced protein energy supplementation during pregnancy to prevent stillbirths

From: The effect of folic acid, protein energy and multiple micronutrient supplements in pregnancy on stillbirths

Quality Assessment

Directness

Summary of findings

No. of studies (Ref)

Design

Limitations

Consistency

Generalizability to Population of Interest

Generalizability to intervention of Interest

Events in intervention group

Events in control group

Relative Risk ( 95 % CI)

Stillbirth: Low outcome specific quality

3

RCT and quasi RCT

Methods of sequence generation and allocation concealment were not adequate in two of the included studies

Heterogeneity in the pooled data was not significant (I2=20%)

One of the study from developed country (USA); however, the participants in this study were from lower socioeconomic status

Different studies used different composition of formula for delivery of balance protein energy.

18

31

0.55 (0.31-0.97)