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. 2018 Nov 15;2018(11):CD003402. doi: 10.1002/14651858.CD003402.pub3

Ogundipe 2016.

Methods RCT: FOSS: ISRCTN24068733
Participants 300 women randomised (normal healthy controls (n = 50), women identified at risk of having a low birthweight baby either spontaneously (n = 100) or because of developing PE (n = 100), and women at risk of gestational diabetes (n = 50).
Inclusion criteria: healthy women and women at risk of developing pregnancy‐related complications PE, fetal growth restriction, gestational diabetes
Exclusion criteria: women with known allergy to fish and fish oil, non‐English speakers who decline the use of an interpreter and those unable or unwilling to attend follow‐up appointments; women with chronic disease such as HIV, cirrhosis or other chronic liver disease, hepatitis B and C carriers; women previously on regular pre‐conceptual fish oil supplement or who, for different reasons, were not able to give competent, written consent
Setting: Chelsea and Westminster Hospital, London, UK
Interventions SUPPLEMENTATION + OTHER AGENT: DHA + EPA + AA versus placebo
Group 1: 2 capsules daily of DHA‐enriched formula (each capsule contained 300 mg of DHA, 42 mg of EPA and 8.4 mg of AA): total number randomised unclear
Group 2: placebo: 2 capsules daily (high oleic acid sunflower seed oil – 721 mg oleic acid); total number randomised unclear
Timing of supplementation: from 8‐12 weeks' gestation
DHA + EPA dose/day: mid: 600 mg DHA + 84 g EPA
Outcomes Women/birth: maternal neurobehavioural outcomes (listed in trial registration entry), maternal lipid profile
Babies/infants/children: MRI brain scan findings; infant developmental outcomes (no outcomes yet reported by intervention and control group ‐ Ogundipe 2016 reports overall GA, birthweight, birth length, head circumference at birth, low birthweight)
Notes No outcomes could be used in this review to date.
Funding: The Mother and Child Foundation, Letten Foundation, Waterloo Foundation and Vifor Pharma, Switzerland.
Declarations of interest: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Not reported
Selective reporting (reporting bias) Unclear risk Not reported
Other bias Unclear risk Not reported