Evidence map›Paper›PMID 40584396›Full record

SynthesisRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2025

Efficacy of vitamin C supplementation during pregnancy in the prevention of preterm birth: a systematic review and meta-analysis.

Ana Gabriela Alves Pereira, Gabriela Oliveira Gonçalves Molino, Ana Clara Felix de Farias Santos, Maírla Marina Ferreira Dias, Nicole Dos Santos Pimenta, Pedro Henrique Costa Matos da Silva

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ana Gabriela Alves PereiraUniversidade Estadual Paulista "Júlio de Mesquita Filho" São PauloSP Brazil Universidade Estadual Paulista "Júlio de Mesquita Filho", São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0003-7023-6254
Gabriela Oliveira Gonçalves MolinoUniversidade Federal de Ciências da Saúde de Porto Alegre Porto AlegreRS Brazil Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0003-2082-2215
Ana Clara Felix de Farias SantosUniversidade Cidade de São Paulo São PauloSP Brazil Universidade Cidade de São Paulo, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0004-0007-0866
Maírla Marina Ferreira DiasUniversidade Federal de Campina Grande Campina GrandePB Brazil Universidade Federal de Campina Grande, Campina Grande, PB, Brazil.ORCID https://orcid.org/0009-0006-1297-7478
Nicole Dos Santos PimentaUniversidade Federal do Estado do Rio de Janeiro Rio de JaneiroRJ Brazil Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID https://orcid.org/0009-0004-6332-1036
Pedro Henrique Costa Matos da SilvaUniversidade Federal de Goiás GoiâniaGO Brazil Universidade Federal de Goiás, Goiânia, GO, Brazil.ORCID https://orcid.org/0000-0002-2707-9324

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Preterm birth is a leading global cause of neonatal mortality and morbidity, with oxidative stress playing a role in its pathogenesis. Vitamin C, a powerful antioxidant, may help reduce this risk. This study assessed the effectiveness of vitamin C supplementation, both alone and with vitamin E, in preventing preterm birth compared to a placebo. Data source: Databases were systematically searched in PubMed, Cochrane and Embase in December 2023 and updated in May 2024. Study Selection: Included RCTs evaluated vitamin C's effect on preterm birth and related neonatal outcomes. Data collect: Statistical analyses used a random-effects model for pooled risk ratios (RR) and 95% confidence intervals (CI). Heterogeneity was assessed with the I² statistic. Data synthesis: Seventeen RCTs (21,567 patients) were analyzed. Vitamin C supplementation showed no significant difference compared to placebo for preterm birth (RR 1.04; 95% CI 0.96, 1.14). No significant differences were observed for neonatal death (RR 0.77; 95% CI 0.55, 1.08), NICU admission (RR 1.03; 95% CI 0.95, 1.13), preterm PROM (RR 1.04; 95% CI 0.63, 1.71), or birth weight (MD 52.41; 95% CI -19.65, 124.47). A slight decrease in gestational age was observed (MD 0.26; 95% CI -0.02, 0.55). Conclusion: Vitamin C supplementation alone or in combination with vitamin E does not significantly prevent preterm birth or improve related neonatal outcomes.

Indexed as

AntioxidantsAscorbic AcidDietary SupplementsPremature BirthFemaleHumansInfant, NewbornPregnancyRandomized Controlled Trials as TopicVitamin EAntioxidantsAscorbic AcidVitamin EAscorbic acidFetal membranes, premature ruptureGestational ageIntensive care units, neonatalPregnancyPremature birthVitamin C supplementationVitamin E

Identifiers

PMID40584396
PMCPMC12204115

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.