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

Comparison 5. DHA/mixed subgroups.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Preterm birth (< 37 weeks) 26 10304 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.81, 0.97]
1.1 DHA/largely DHA 12 4744 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.69, 1.02]
1.2 Mixed DHA/EPA 9 4172 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.83, 1.03]
1.3 Mixed DHA/EPA/other 5 1388 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.45, 1.11]
2 Early preterm birth (< 34 weeks) 9 5204 Risk Ratio (M‐H, Fixed, 95% CI) 0.58 [0.44, 0.77]
2.1 DHA/largely DHA 5 3260 Risk Ratio (M‐H, Fixed, 95% CI) 0.46 [0.28, 0.76]
2.2 Mixed DHA/EPA 2 860 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.49, 0.99]
2.3 Mixed DHA/EPA/other 2 1084 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.14, 1.25]
3 Prolonged gestation (> 42 weeks) 6 5141 Risk Ratio (M‐H, Fixed, 95% CI) 1.61 [1.11, 2.33]
3.1 DHA/largely DHA 3 2847 Risk Ratio (M‐H, Fixed, 95% CI) 2.12 [0.60, 7.49]
3.2 Mixed DHA/EPA 2 2106 Risk Ratio (M‐H, Fixed, 95% CI) 1.54 [1.04, 2.28]
3.3 Mixed DHA/EPA/other 1 188 Risk Ratio (M‐H, Fixed, 95% CI) 3.13 [0.13, 75.84]
4 Pre‐eclampsia (hypertension with proteinuria) 20 8306 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.69, 1.01]
4.1 DHA/largely DHA 6 3454 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.71, 1.33]
4.2 Mixed DHA/EPA 9 3506 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.69, 1.18]
4.3 Mixed DHA/EPA/other 5 1346 Risk Ratio (M‐H, Fixed, 95% CI) 0.40 [0.23, 0.71]
5 Caesarean section 28 8481 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.91, 1.03]
5.1 DHA/largely DHA 9 4327 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.87, 1.03]
5.2 Mixed DHA/EPA 10 2433 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.95, 1.27]
5.3 Mixed DHA/EPA/other 9 1721 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.75, 1.02]
6 Gestational length (days) 43 12517 Mean Difference (IV, Random, 95% CI) 1.67 [0.95, 2.39]
6.1 DHA/largely DHA 14 4791 Mean Difference (IV, Random, 95% CI) 2.44 [0.91, 3.98]
6.2 Mixed DHA/EPA 17 5760 Mean Difference (IV, Random, 95% CI) 1.23 [0.21, 2.24]
6.3 Mixed DHA/EPA/other 12 1966 Mean Difference (IV, Random, 95% CI) 1.42 [0.33, 2.50]
7 Perinatal death 10 7416 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.54, 1.03]
7.1 DHA/largely DHA 3 3475 Risk Ratio (M‐H, Fixed, 95% CI) 0.44 [0.21, 0.91]
7.2 Mixed DHA/EPA 6 3873 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.60, 1.27]
7.3 Mixed DHA/EPA/other 1 68 Risk Ratio (M‐H, Fixed, 95% CI) 0.67 [0.12, 3.74]
8 Stillbirth 16 7880 Risk Ratio (M‐H, Fixed, 95% CI) 0.94 [0.62, 1.42]
8.1 DHA/largely DHA 5 3639 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.28, 1.70]
8.2 Mixed DHA/EPA 8 3987 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.65, 1.73]
8.3 Mixed DHA/EPA/other 3 254 Risk Ratio (M‐H, Fixed, 95% CI) 0.70 [0.14, 3.51]
9 Neonatal death 9 7448 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.34, 1.11]
9.1 DHA/largely DHA 3 3673 Risk Ratio (M‐H, Fixed, 95% CI) 0.50 [0.20, 1.23]
9.2 Mixed DHA/EPA 6 3775 Risk Ratio (M‐H, Fixed, 95% CI) 0.73 [0.33, 1.62]
10 Low birthweight (< 2500 g) 15 8449 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.82, 0.99]
10.1 DHA/largely DHA 6 4118 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.56, 0.93]
10.2 Mixed DHA/EPA 6 3147 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.87, 1.07]
10.3 Mixed DHA/EPA/other 3 1184 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.51, 1.18]
11 Small‐for‐gestational age/IUGR 8 6907 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.90, 1.13]
11.1 DHA/largely DHA 2 3372 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.75, 1.20]
11.2 Mixed DHA/EPA 4 2506 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.93, 1.23]
11.3 Mixed EPA/DHA/other 2 1029 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.50, 1.22]
12 Birthweight (g) 43 11584 Mean Difference (IV, Random, 95% CI) 75.69 [37.84, 113.55]
12.1 DHA/largely DHA 17 6121 Mean Difference (IV, Random, 95% CI) 52.60 [26.96, 78.23]
12.2 Mixed DHA/EPA 15 4429 Mean Difference (IV, Random, 95% CI) 72.72 [6.67, 138.78]
12.3 Mixed DHA/EPA/other 11 1034 Mean Difference (IV, Random, 95% CI) 113.65 [12.54, 214.75]