A Cochrane Pocketbook: Pregnancy and Childbirth (Wiley by G. Justus Hofmeyr, James P. Neilson, Zarko Alfirevic,

By G. Justus Hofmeyr, James P. Neilson, Zarko Alfirevic, Caroline A. Crowther, Lelia Duley, Metin Gulmezoglu, Gillian M. L. Gyte, Ellen D. Hodnett

Pregnancy and Childbirth offers the simplest proof for the care of pregnant ladies to medical professionals, midwives, scholars and parents.  The logical series of chapters and the index supply easy accessibility to the abstracts of over 400 Cochrane systematic reviews.  The booklet serves either as a stand-alone reference, and as a spouse to finding complete experiences at the Cochrane Library.

The Cochrane Library is released by way of John Wiley on behalf of The Cochrane Collaboration.

  www.thecochranelibrary.com

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Additional info for A Cochrane Pocketbook: Pregnancy and Childbirth (Wiley Cochrane)

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Search date: December 2005. MAIN RESULTS : Five trials (1646 women) were included. Four trials used blinding. One had an adequate method of randomisation and allocation concealment; four did not report this. Three trials had large losses to follow up. 83; one trial, n ϭ 342). 04; n ϭ 33; one trial). We did not find any statistically significant differences in the risk of eclampsia (capsules: n ϭ 1242; three trials; lozenges: n ϭ 944; one trial), pre-eclampsia (capsules: n ϭ 1197; two trials; lozenges: n ϭ 944; one trial) or low Apgar scores at one minute (oral pyridoxine: n ϭ 45; one trial), between supplemented and non-supplemented groups.

The two trials from Malawi did not corroborate these positive findings. AUTHORS’ CONCLUSIONS : Although the two trials from Nepal and Indonesia suggested beneficial effects of vitamin A supplementation, further trials are needed to determine whether vitamin A supplements can reduce maternal mortality and morbidity and by what mechanism. VITAMIN C SUPPLEMENTATION IN PREGNANCY: had no clear benefits; appeared to increase preterm birth. (Rumbold A, Crowther CA) CD004072 BACKGROUND : Vitamin C supplementation may help reduce the risk of pregnancy complications like pre-eclampsia, intrauterine growth CHAPTER 2 ANTENATAL CARE 29 restriction and maternal anaemia.

It is not possible to recommend multivitamins with mineral supplementation, as it is not clear which ingredient, if any, is helping. If a woman finds cramp troublesome in pregnancy, the best evidence is for magnesium lactate or citrate taken as 5 mmol in the morning and 10 mmol in the evening.

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