Skip to main content
. 2018 Nov 15;2018(11):CD003402. doi: 10.1002/14651858.CD003402.pub3

Comparison 2. Type of omega‐3 intervention.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Preterm birth (< 37 weeks) 27 10304 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.81, 0.97]
1.1 Omega‐3 supplements only 18 7608 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.80, 1.01]
1.2 Omega‐3 supplements/enrichment + food/diet advice 3 516 Risk Ratio (M‐H, Fixed, 95% CI) 0.73 [0.41, 1.29]
1.3 Omega‐3 food/diet advice 1 48 Risk Ratio (M‐H, Fixed, 95% CI) 0.11 [0.01, 2.22]
1.4 Omega‐3 supplements + other agents 6 2132 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.76, 1.04]
2 Early preterm birth (< 34 weeks) 9 5204 Risk Ratio (M‐H, Fixed, 95% CI) 0.58 [0.44, 0.77]
2.1 Omega‐3 supplements only 8 4234 Risk Ratio (M‐H, Fixed, 95% CI) 0.62 [0.46, 0.82]
2.2 Omega‐3 supplements + other agents 1 970 Risk Ratio (M‐H, Fixed, 95% CI) 0.19 [0.04, 0.88]
3 Prolonged gestation (> 42 weeks) 6 5141 Risk Ratio (M‐H, Fixed, 95% CI) 1.61 [1.11, 2.33]
3.1 Omega‐3 supplements only 5 4953 Risk Ratio (M‐H, Fixed, 95% CI) 1.59 [1.09, 2.31]
3.2 Omega‐3 supplements + food/diet advice 1 188 Risk Ratio (M‐H, Fixed, 95% CI) 3.13 [0.13, 75.84]
4 Maternal death 4 4830 Risk Ratio (M‐H, Fixed, 95% CI) 1.69 [0.07, 39.30]
4.1 Omega‐3 supplements only 3 4782 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4.2 Omega‐3 food/diet advice 1 48 Risk Ratio (M‐H, Fixed, 95% CI) 1.69 [0.07, 39.30]
5 Pre‐eclampsia (hypertension with proteinuria) 21 8306 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.69, 1.01]
5.1 Omega‐3 supplements only 13 5825 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.76, 1.19]
5.2 Omega‐3 supplements/enrichment + food/dietary advice 2 328 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.25, 1.69]
5.3 Omega‐3 supplements + other agents 6 2153 Risk Ratio (M‐H, Fixed, 95% CI) 0.58 [0.39, 0.88]
6 High blood pressure (without proteinuria) 7 4531 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.89, 1.20]
6.1 Omega‐3 supplements only 6 4431 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.90, 1.22]
6.2 Omega‐3 supplements + other agents 1 100 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.33, 1.47]
7 Eclampsia 1 100 Risk Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 2.70]
7.1 Omega‐3 supplements + other agents 1 100 Risk Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 2.70]
8 Maternal antepartum hospitalisation 5 2876 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.81, 1.04]
8.1 Omega‐3 supplements only 4 2817 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.82, 1.04]
8.2 Omega‐3 supplementation + other agents 1 59 Risk Ratio (M‐H, Fixed, 95% CI) 0.21 [0.01, 4.13]
9 Mother's length of stay in hospital (days) 2 2290 Mean Difference (IV, Fixed, 95% CI) 0.18 [‐0.20, 0.57]
9.1 Omega‐3 supplements only 2 2290 Mean Difference (IV, Fixed, 95% CI) 0.18 [‐0.20, 0.57]
10 Maternal anaemia 1 846 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [0.91, 1.48]
10.1 Omega‐3 supplements only 1 846 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [0.91, 1.48]
11 Miscarriage (< 24 weeks) 9 4190 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.80, 1.43]
11.1 Omega‐3 supplements only 8 3049 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.56, 1.60]
11.2 Omega‐3 supplements + other agents 1 1141 Risk Ratio (M‐H, Fixed, 95% CI) 1.14 [0.80, 1.61]
12 Antepartum vaginal bleeding 2 2151 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.69, 1.48]
12.1 Omega‐3 supplements only 2 2151 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.69, 1.48]
13 Preterm prelabour rupture of membranes 3 925 Risk Ratio (M‐H, Fixed, 95% CI) 0.53 [0.25, 1.10]
13.1 Omega‐3 supplements only 2 670 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.28, 1.34]
13.2 Omega‐3 supplementation/enrichment + food/diet advice 1 255 Risk Ratio (M‐H, Fixed, 95% CI) 0.24 [0.03, 2.15]
14 Prelabour rupture of membranes 3 915 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.21, 0.82]
14.1 Omega‐3 supplements only 1 369 Risk Ratio (M‐H, Fixed, 95% CI) 0.54 [0.14, 2.11]
14.2 Omega‐3 supplementation/enrichment + food/diet advice 2 546 Risk Ratio (M‐H, Fixed, 95% CI) 0.38 [0.17, 0.85]
15 Maternal admission to intensive care 2 2458 Risk Ratio (M‐H, Fixed, 95% CI) 0.56 [0.12, 2.63]
15.1 Omega‐3 supplements only 1 2399 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.14, 7.12]
15.2 Omega‐3 supplements + other agent 1 59 Risk Ratio (M‐H, Fixed, 95% CI) 0.21 [0.01, 4.13]
16 Maternal severe adverse effects (including cessation) 8 4177 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.59, 1.75]
16.1 Omega‐3 supplements only 7 3886 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.54, 1.87]
16.2 Omega‐3 supplementation/enrichment + food/diet advice 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.35, 3.18]
17 Caesarean section 29 8481 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.91, 1.03]
17.1 Omega‐3 supplements only 19 6537 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.92, 1.06]
17.2 Omega‐3 supplements/enrichment +food/diet advice 4 574 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.63, 1.19]
17.3 Omega‐3 food/diet advice 1 107 Risk Ratio (M‐H, Fixed, 95% CI) 0.91 [0.38, 2.17]
17.4 Omega‐3 supplements + other agents 5 1263 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.72, 1.08]
18 Induction (post‐term) 3 2900 Risk Ratio (M‐H, Random, 95% CI) 0.82 [0.22, 2.98]
18.1 Omega‐3 supplements only 2 2712 Risk Ratio (M‐H, Random, 95% CI) 0.82 [0.22, 2.98]
18.2 Omega‐3 supplements + food/diet advice 1 188 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
19 Blood loss at birth (mL) 6 2776 Mean Difference (IV, Fixed, 95% CI) 11.50 [‐6.75, 29.76]
19.1 Omega‐3 supplements only 5 2588 Mean Difference (IV, Fixed, 95% CI) 11.64 [‐8.89, 32.17]
19.2 Omega‐3 supplements + food/diet advice 1 188 Mean Difference (IV, Fixed, 95% CI) 11.0 [‐28.91, 50.91]
20 Postpartum haemorrhage 4 4085 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.82, 1.30]
20.1 Omega‐3 supplements only 3 3233 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.71, 1.34]
20.2 Omega‐3 supplements + other agent 1 852 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.79, 1.57]
21 Gestational diabetes 12 5235 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.83, 1.26]
21.1 Omega‐3 supplements only 7 3726 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.80, 1.30]
21.2 Omega‐3 supplements/enrichment + food/diet advice 4 595 Risk Ratio (M‐H, Fixed, 95% CI) 0.66 [0.33, 1.34]
21.3 Omega‐3 supplements + other agents 2 914 Risk Ratio (M‐H, Fixed, 95% CI) 1.34 [0.80, 2.24]
22 Maternal insulin resistance (HOMA‐IR) 3 176 Mean Difference (IV, Random, 95% CI) ‐0.85 [‐2.50, 0.80]
22.1 Omega‐3 supplements only 2 116 Mean Difference (IV, Random, 95% CI) ‐0.25 [‐1.94, 1.44]
22.2 Omega‐3 supplements + other agents 1 60 Mean Difference (IV, Random, 95% CI) ‐2.0 [‐3.10, ‐0.90]
23 Excessive gestational weight gain 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 1.21 [0.95, 1.55]
23.1 Omega‐3 supplements only 1 350 Risk Ratio (M‐H, Fixed, 95% CI) 1.21 [0.95, 1.55]
24 Gestational weight gain (kg) 11 2297 Mean Difference (IV, Random, 95% CI) ‐0.05 [‐0.68, 0.59]
24.1 Omega‐3 supplements only 6 955 Mean Difference (IV, Random, 95% CI) ‐0.22 [‐1.47, 1.03]
24.2 Omega‐3 supplements/enrichment + food/diet advice 3 313 Mean Difference (IV, Random, 95% CI) ‐0.11 [‐0.99, 0.78]
24.3 Omega‐3 supplements + other agents 2 1029 Mean Difference (IV, Random, 95% CI) 0.43 [‐0.08, 0.95]
25 Depression during pregnancy: scores 5   Mean Difference (IV, Fixed, 95% CI) Subtotals only
25.1 Omega‐3 supplements only: BDI 2 104 Mean Difference (IV, Fixed, 95% CI) ‐5.86 [‐8.32, ‐3.39]
25.2 Omega‐3 supplements only: HAMD 3 71 Mean Difference (IV, Fixed, 95% CI) ‐1.08 [‐3.35, 1.19]
25.3 Omega‐3 supplements only: EPDS 4 122 Mean Difference (IV, Fixed, 95% CI) ‐0.15 [‐2.09, 1.79]
25.4 Omega‐3 supplements only: MADRS 1 26 Mean Difference (IV, Fixed, 95% CI) ‐1.60 [‐7.80, 4.60]
26 Depression during pregnancy: thresholds 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
26.1 Omega‐3 supplements only: HAMD 50% reduction (after 8 weeks) 1 24 Risk Ratio (M‐H, Fixed, 95% CI) 2.26 [0.78, 6.49]
26.2 Omega‐3 supplements only: HAMD ≤ 7 1 24 Risk Ratio (M‐H, Fixed, 95% CI) 2.12 [0.51, 8.84]
26.3 Omega‐3 supplements only: unspecified 1 301 Risk Ratio (M‐H, Fixed, 95% CI) 2.39 [0.47, 12.11]
26.4 Omega‐3 supplements only: EPDS ≥ 11 1 34 Risk Ratio (M‐H, Fixed, 95% CI) 1.4 [0.55, 3.55]
27 Depressive symptoms postpartum: thresholds 4   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
27.1 Omega‐3 supplements only: PDSS ≥80 1 42 Risk Ratio (M‐H, Fixed, 95% CI) 0.37 [0.04, 3.25]
27.2 Omega‐3 supplements only: EPDS 2 2431 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.71, 1.12]
27.3 Omega‐3 supplements only: major depressive disorder 1 118 Risk Ratio (M‐H, Fixed, 95% CI) 1.33 [0.27, 6.56]
28 Depressive symptoms postpartum: scores 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
28.1 Omega‐3 supplements only: BD: 6‐8 weeks postpartum 1 118 Mean Difference (IV, Fixed, 95% CI) 0.25 [‐1.93, 2.43]
28.2 Omega‐3 supplements only: PDSS total (LS over 6 months) 1 42 Mean Difference (IV, Fixed, 95% CI) ‐6.08 [‐12.42, 0.26]
29 Length of gestation (days) 43 12517 Mean Difference (IV, Random, 95% CI) 1.65 [0.94, 2.37]
29.1 Omega‐3 supplements only 29 9290 Mean Difference (IV, Random, 95% CI) 1.67 [0.76, 2.59]
29.2 Omega‐3 supplements/enrichment + food/diet advice 6 680 Mean Difference (IV, Random, 95% CI) 2.45 [‐0.14, 5.04]
29.3 Omega‐3 food/diet advice 1 107 Mean Difference (IV, Random, 95% CI) 5.00 [0.64, 9.36]
29.4 Omega‐3 supplements + other agents 8 2440 Mean Difference (IV, Random, 95% CI) 1.04 [0.05, 2.03]
30 Perinatal death 10 7416 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.54, 1.03]
30.1 Omega‐3 supplements only 8 6496 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.48, 1.03]
30.2 Omega‐3 supplements + other agents 2 920 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.47, 1.62]
31 Stillbirth 16 7880 Risk Ratio (M‐H, Fixed, 95% CI) 0.94 [0.62, 1.42]
31.1 Omega‐3 supplements only 13 7693 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.60, 1.42]
31.2 Omega‐3 supplements + food/diet advice 1 79 Risk Ratio (M‐H, Fixed, 95% CI) 0.33 [0.01, 7.75]
31.3 Omega‐3 food/diet advice 1 48 Risk Ratio (M‐H, Fixed, 95% CI) 1.69 [0.07, 39.30]
31.4 Omega‐3 supplements + other agents 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.13, 70.83]
32 Neonatal death 9 7448 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.34, 1.11]
32.1 Omega‐3 supplements only 9 7448 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.34, 1.11]
33 Infant death 4 3239 Risk Ratio (M‐H, Fixed, 95% CI) 0.74 [0.25, 2.19]
33.1 Omega‐3 supplements only 4 3239 Risk Ratio (M‐H, Fixed, 95% CI) 0.74 [0.25, 2.19]
34 Large‐for‐gestational age 5 3602 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [1.01, 1.43]
34.1 Omega‐3 supplements only 2 2518 Risk Ratio (M‐H, Fixed, 95% CI) 1.19 [0.99, 1.43]
34.2 Omega‐3 supplements + food/diet advice 1 188 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.48, 3.17]
34.3 Omega‐3 supplements + other agent 2 896 Risk Ratio (M‐H, Fixed, 95% CI) 1.28 [0.72, 2.29]
35 Macrosomia 7 2008 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.43, 1.13]
35.1 Omega‐3 supplements only 5 1904 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.47, 1.36]
35.2 Omega‐3 supplements + other agent 2 104 Risk Ratio (M‐H, Fixed, 95% CI) 0.31 [0.08, 1.23]
36 Low birthweight (< 2500 g) 15 8449 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.82, 0.99]
36.1 Omega‐3 supplements only 10 6214 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.86, 1.07]
36.2 Omega‐3 supplements/enrichment + food/diet advice 2 328 Risk Ratio (M‐H, Fixed, 95% CI) 0.66 [0.34, 1.26]
36.3 Omega‐3 supplements + other agents 3 1907 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.62, 0.95]
37 Small‐for‐gestational age/IUGR 8 6907 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.90, 1.13]
37.1 Omega‐3 supplements only 5 5041 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.93, 1.20]
37.2 Omega‐3 supplements + other agents 3 1866 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.59, 1.09]
38 Birthweight (g) 44 11584 Mean Difference (IV, Random, 95% CI) 75.74 [38.05, 113.43]
38.1 Omega‐3 supplements only 31 8522 Mean Difference (IV, Random, 95% CI) 59.41 [23.23, 95.59]
38.2 Omega‐3 supplements/enrichment + food/diet advice 6 859 Mean Difference (IV, Random, 95% CI) 129.42 [49.52, 209.31]
38.3 Omega‐3 food/diet advice 1 107 Mean Difference (IV, Random, 95% CI) ‐17.0 [‐190.97, 156.97]
38.4 Omega‐3 supplements + other agents 6 2096 Mean Difference (IV, Random, 95% CI) 69.14 [‐72.81, 211.10]
39 Birthweight Z score 4 2792 Mean Difference (IV, Fixed, 95% CI) 0.06 [‐0.02, 0.13]
39.1 Omega‐3 supplements only 3 2677 Mean Difference (IV, Fixed, 95% CI) 0.06 [‐0.01, 0.14]
39.2 Omega‐3 supplements + other agent 1 115 Mean Difference (IV, Fixed, 95% CI) 0.00 [‐0.21, 0.21]
40 Birth length (cm) 29 8008 Mean Difference (IV, Random, 95% CI) 0.13 [‐0.08, 0.34]
40.1 Omega‐3 supplements only 20 6010 Mean Difference (IV, Random, 95% CI) 0.21 [‐0.03, 0.45]
40.2 Omega‐3 supplements/enrichment + food/diet advice 4 606 Mean Difference (IV, Random, 95% CI) 0.42 [‐0.01, 0.85]
40.3 Omega‐3 food/diet advice 1 123 Mean Difference (IV, Random, 95% CI) ‐0.10 [‐0.56, 0.36]
40.4 Omega‐3 supplements + other agent 4 1269 Mean Difference (IV, Random, 95% CI) ‐0.51 [‐0.78, ‐0.23]
41 Length at birth Z score 2 2462 Mean Difference (IV, Random, 95% CI) 0.18 [‐0.18, 0.54]
41.1 Omega‐3 supplements only 2 2462 Mean Difference (IV, Random, 95% CI) 0.18 [‐0.18, 0.54]
42 Head circumference at birth (cm) 23 7041 Mean Difference (IV, Fixed, 95% CI) 0.10 [0.01, 0.18]
42.1 Omega‐3 supplements only 16 5442 Mean Difference (IV, Fixed, 95% CI) 0.07 [‐0.03, 0.17]
42.2 Omega‐3 supplements/enrichment + food/diet advice 3 418 Mean Difference (IV, Fixed, 95% CI) 0.34 [0.03, 0.65]
42.3 Omega‐3 food/diet advice only 1 107 Mean Difference (IV, Fixed, 95% CI) ‐0.20 [‐0.75, 0.35]
42.4 Omega‐3 supplements + other agent 3 1074 Mean Difference (IV, Fixed, 95% CI) 0.15 [‐0.06, 0.35]
43 Head circumference at birth Z score 2 2462 Mean Difference (IV, Fixed, 95% CI) ‐0.03 [‐0.14, 0.07]
43.1 Omega‐3 supplementation only 2 2462 Mean Difference (IV, Fixed, 95% CI) ‐0.03 [‐0.14, 0.07]
44 Baby admitted to neonatal care 9 6920 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.83, 1.03]
44.1 Omega‐3 supplements only 5 5692 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.79, 1.02]
44.2 Omega‐3 supplements/enrichment + food/diet advice 2 328 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.54, 1.50]
44.3 Omega‐3 supplements + other agents 2 900 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.81, 1.26]
45 Infant length of stay in hospital (days) 1 2041 Mean Difference (IV, Fixed, 95% CI) 0.11 [‐1.40, 1.62]
45.1 Omega‐3 supplementation only 1 2041 Mean Difference (IV, Fixed, 95% CI) 0.11 [‐1.40, 1.62]
46 Congenital anomalies 3 1807 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.61, 1.92]
46.1 Omega‐3 supplements only 3 1807 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.61, 1.92]
47 Retinopathy of prematurity 1 837 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.32, 4.44]
47.1 Omega‐3 supplementation + other agent only 1 837 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.32, 4.44]
48 Bronchopulmonary dysplasia 2 3191 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.45, 2.48]
48.1 Omega‐3 supplementation only 1 2363 Risk Ratio (M‐H, Fixed, 95% CI) 0.50 [0.09, 2.71]
48.2 Omega‐3 supplementation + other agent 1 828 Risk Ratio (M‐H, Fixed, 95% CI) 1.42 [0.51, 3.96]
49 Respiratory distress syndrome 2 1129 Risk Ratio (M‐H, Random, 95% CI) 1.17 [0.54, 2.52]
49.1 Omega‐3 supplementation only 1 301 Risk Ratio (M‐H, Random, 95% CI) 0.72 [0.31, 1.65]
49.2 Omega‐3 supplementation + other agent 1 828 Risk Ratio (M‐H, Random, 95% CI) 1.60 [1.08, 2.37]
50 Necrotising enterocolitis (NEC) 2 3198 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.26, 3.55]
50.1 Omega‐3 supplementation only 1 2361 Risk Ratio (M‐H, Fixed, 95% CI) 2.98 [0.12, 73.13]
50.2 Omega‐3 supplementation + other agent 1 837 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.16, 3.20]
51 Neonatal sepsis (proven) 3 3788 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.44, 2.14]
51.1 Omega‐3 supplements only 3 3788 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.44, 2.14]
52 Convulsion 1 2361 Risk Ratio (M‐H, Fixed, 95% CI) 0.09 [0.01, 1.63]
52.1 Omega‐3 supplementation only 1 2361 Risk Ratio (M‐H, Fixed, 95% CI) 0.09 [0.01, 1.63]
53 Intraventricular haemorrhage 3 5423 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.29, 3.49]
53.1 Omega‐3 supplements only 2 4586 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.02, 16.16]
53.2 Omega‐3 supplementation + other agent 1 837 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.44, 2.60]
54 Neonatal/infant serious adverse events 2 2690 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.53, 0.99]
54.1 Omega‐3 supplementation 1 2399 Risk Ratio (M‐H, Fixed, 95% CI) 0.67 [0.44, 1.01]
54.2 Omega‐3 supplements/enrichment + food/diet advice 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.50, 1.31]
55 Neonatal/infant morbidity: cardiovascular 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.85, 1.69]
55.1 Omega‐3 supplements/enrichment + food/diet advice 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.85, 1.69]
56 Neonatal/infant morbidity: respiratory 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.66, 1.57]
56.1 Omega‐3 supplements/enrichment + food/diet advice 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.66, 1.57]
57 Neonatal/infant morbidity: caused by pregnancy/birth 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.67, 1.55]
57.1 Omega‐3 supplements/enrichment + food/diet advice 1 291 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.67, 1.55]
58 Ponderal index 6 887 Mean Difference (IV, Random, 95% CI) 0.05 [‐0.01, 0.11]
58.1 Omega‐3 supplements only 5 699 Mean Difference (IV, Random, 95% CI) 0.04 [‐0.04, 0.11]
58.2 Omega‐3 supplements + food/diet advice 1 188 Mean Difference (IV, Random, 95% CI) 0.08 [0.01, 0.15]