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. 2015 Oct 23;2015(10):CD006171. doi: 10.1002/14651858.CD006171.pub4

Summary of findings 2. Brochure and an audiotape compared with standard care for prenatal education for congenital toxoplasmosis.

Brochure and an audiotape compared with standard care for prenatal education for congenital toxoplasmosis
Patient or population: women of reproductive age, irrespective of their pregnant status
 Settings: France
 Intervention: brochure and an audiotape
 Comparison: standard care
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Standard care brochure and an audiotape
Rate of toxoplasmosis seroconversion in pregnant women Study population RR 1.70
 (0.56 to 5.21) 3949
 (1 RCT) ⊕⊕⊝⊝
 LOW 1,2  
3 per 1000 5 per 1000
 (2 to 15)
Pregnant women behavior with respect to the avoidance of risk factors for toxoplasmosis infection during pregnancy (no consumption of uncooked meat of any type)   OR 1.21
 (0.98 to 1.50) (1 RCT) ⊕⊕⊕⊝
 MODERATE 1 Events were not available for these two outcomes. OR for these two outcomes were obtained from a review that included this study.
Pregnant women behavior with respect to the avoidance of risk factors for toxoplasmosis during pregnancy (hand washing after contact with transmission factor and before meals)   OR 1.01
 (0.38 to 1.22) (1 RCT) ⊕⊕⊝⊝
 LOW 1,2
Rate of congenital toxoplasmosis defined by persistence of IgG antibodies beyond 11 months None of these outcomes were reported in the included study. If in future updates data on these outcomes are available we will include them in this SOF.
Pregnant women knowledge of risk factors for acquiring toxoplasmosis infection as objectively measured through specific questionnaire
Pregnant women awareness of the importance of avoiding toxoplasmosis infection during pregnancy as objectively measured through specific questionnaire
*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; OR: odds ratio; 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.

1Evidence from one study with high risk of bias

2Wide CI crossing the line of no effect