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. 2020 Dec 4;2020(12):CD010655. doi: 10.1002/14651858.CD010655.pub3

Summary of findings 4. Oral calcium compared with oral vitamin C for leg cramps in pregnancy.

Oral calcium compared with oral vitamin C for leg cramps in pregnancy
Patient or population: leg cramps in pregnancy
Settings: outpatient clinic in Sweden
Intervention: oral calcium
Comparison: oral vitamin C
Outcomes Illustrative comparative risks* (95% CI) Relative effect
(95% CI) No of participants
(studies) Certainty of the evidence
(GRADE) Comments
Assumed risk with oral vitamin C Corresponding risk with oral calcium
Frequency of leg cramps after treatment: never Study population RR 1.33
(0.53 to 3.38) 60
(1 RCT) ⊕⊝⊝⊝
VERY LOW 1,2  
200 per 1000 266 per 1000
(106 to 676)
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: Confidence interval; RR: risk ratio
GRADE Working Group grades of evidence
High certainty: further research is very unlikely to change our confidence in the estimate of effect.
Moderate certainty: further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low certainty: further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low certainty: we are very uncertain about the estimate.

1Design limitations (‐1).

2Wide CI crossing the line of no effect, few events and small sample size (‐2).