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. 2024 Sep 26;2024(9):CD006689. doi: 10.1002/14651858.CD006689.pub3

Comparison 2. Mefloquine (MQ) plus daily cotrimoxazole (CTXp) versus CTXp.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Maternal peripheral parasitaemia at delivery (polymerase chain reaction) 2 989 Risk Ratio (M‐H, Fixed, 95% CI) 0.52 [0.30, 0.93]
2.2 Maternal anaemia at delivery (< 9.5 g/dL) 2 1197 Risk Ratio (M‐H, Fixed, 95% CI) 0.94 [0.73, 1.20]
2.3 Placental malaria (blood smear) 2 1144 Risk Ratio (M‐H, Fixed, 95% CI) 0.51 [0.29, 0.89]
2.4 Placental malaria (polymerase chain reaction) 2 977 Risk Ratio (M‐H, Fixed, 95% CI) 0.28 [0.14, 0.57]
2.5 Clinical malaria episodes during pregnancy 1   Rate Ratio (IV, Fixed, 95% CI) Subtotals only
2.6 Mean haemoglobin at delivery (in g/dL) 2 1167 Mean Difference (IV, Random, 95% CI) 0.07 [‐0.32, 0.46]
2.7 Maternal severe anaemia at delivery 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.8 Low birth weight (< 2500 g) 2 1220 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.89, 1.60]
2.9 Mean birth weight (g) 2 1220 Mean Difference (IV, Fixed, 95% CI) ‐25.75 [‐86.99, 35.49]
2.10 Cord blood parasitaemia 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.11 Prematurity 2 824 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.58, 1.96]
2.12 Severe adverse events during pregnancy 2 1347 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.50, 0.95]
2.13 Foetal loss 2 1347 Risk Ratio (M‐H, Random, 95% CI) 1.12 [0.42, 2.98]
2.14 Congenital malformations 2 1312 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.22, 1.67]
2.15 Maternal mortality 2 1347 Risk Ratio (M‐H, Fixed, 95% CI) 0.51 [0.13, 2.01]
2.16 Neonatal mortality 2 1239 Risk Ratio (M‐H, Fixed, 95% CI) 1.32 [0.65, 2.69]
2.17 Adverse events: headache 2 1347 Risk Ratio (M‐H, Random, 95% CI) 0.76 [0.28, 2.10]
2.18 Adverse events: vomiting 2 1347 Risk Ratio (M‐H, Random, 95% CI) 20.88 [1.40, 311.66]
2.19 Adverse events: dizziness 2 1347 Risk Ratio (M‐H, Random, 95% CI) 16.34 [0.39, 684.99]
2.20 Adverse events: fatigue/weakness 2 1347 Risk Ratio (M‐H, Random, 95% CI) 2.95 [0.26, 32.93]
2.21 Mother‐to‐child transmission of HIV 2 1019 Risk Ratio (M‐H, Fixed, 95% CI) 1.92 [1.13, 3.25]
2.22 Undetectable viral load 2 1220 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.81, 1.08]