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. 2015 Aug 13;2015(8):CD010861. doi: 10.1002/14651858.CD010861.pub2

Summary of findings 3. Oral iron compared with placebo (Comparison 3).

Oral iron compared with placebo for women with postpartum iron deficiency anaemia
Patient or population: women with postpartum iron deficiency anaemia
 Settings: obstetric care units
 Intervention: oral iron
 Comparison: placebo
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Placebo Oral iron
Maternal mortality ‐ not reported See comment See comment Not estimable See comment Not reported.
Fatigue ‐ not reported See comment See comment Not estimable See comment Not reported.
Persistent anaemia symptoms 
 Reported by the women
 Follow‐up: mean 42 days Study population Not estimable (1) See comment Symptoms of anaemia were not reported for the anaemic groups separately.
See comment See comment
Moderate
   
All gastrointestinal symptoms 
 Reported by the patients
 Follow‐up: mean 30 days Study population RR 1 
 (0.36 to 2.79) 68
 (1 study) ⊕⊝⊝⊝
 very low1,2,3  
176 per 1000 176 per 1000 
 (64 to 492)
Moderate
177 per 1000 177 per 1000 
 (64 to 494)
Constipation ‐ not reported See comment See comment Not estimable See comment Not reported.
*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 quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: 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 quality: We are very uncertain about the estimate.

1 Downgraded two levels due to risk of bias: open‐label design combined with a subjective outcome measure.
 2 Downgraded one level due to imprecision: small sample size, single study ‐ likely to lower confidence in effect.
 3 Downgraded one level due to study limitations: adverse events not reported separately.