Evidence map›Paper›PMID 40025969›Full record

SynthesisBJOG : an international journal of obstetrics and gynaecology2025

Polyphenols for the Prevention or Management of Preeclampsia: A Systematic Review and Meta-Analysis.

Phi-Yen Nguyen, Ben Sanderson, Maureen Makama, Kate Mills, Anne Ammerdorffer, A Metin Gülmezoglu, Joshua P Vogel, Annie R A McDougall

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Resveratrol Activates SIRT1 to Inhibit Trophoblast Pyroptosis in Preeclampsia.Reproductive sciences (Thousand Oaks, Calif.) · 2025
    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

8 authors.

Phi-Yen NguyenMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.ORCID https://orcid.org/0000-0002-0476-3385
Ben SandersonMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Maureen MakamaMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.ORCID https://orcid.org/0000-0002-4164-3702
Kate MillsMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.ORCID https://orcid.org/0009-0003-6262-7220
Anne AmmerdorfferConcept Foundation, Geneva, Switzerland.ORCID https://orcid.org/0000-0002-1059-061X
A Metin GülmezogluConcept Foundation, Geneva, Switzerland.
Joshua P VogelMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.
Annie R A McDougallMaternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Australia.ORCID https://orcid.org/0000-0003-1182-6679

Funding

Bill and Melinda Gates FoundationBurnet InstitutePerpetual
6 · The paper itself

Abstract

objectivesTo evaluate the effects of polyphenol-containing products during pregnancy on preeclampsia-related maternal and neonatal outcomes.

designSystematic review and meta-analysis.

settingNine databases and one trial registry, from inception to August 11th, 2023. POPULATION/SAMPLE: Randomised controlled trials where women received polyphenolic-containing products (as standardised extracts or dietary supplements) compared to placebo or standard care.

methodsAll review stages were conducted by two independent reviewers. Random-effects meta-analysis with the Hartung-Knapp-Sidik-Jonkman method using a framework for studies with few events.

main outcome measuresClinical outcomes combining the core outcome set for preeclampsia and WHO's priority outcomes.

resultsFourteen trials investigating six candidates were included. In women with preeclampsia, the addition of epigallocatechin gallate (EGCG) to nifedipine may reduce the time needed to achieve blood pressure control (mean difference (MD) = -14.10 min, 95% CI -18.46 to -9.74) and increase the time to the next hypertensive crisis (MD = 3.10 h, 95% CI 2.35 to 3.85) compared to nifedipine alone (1 trial, 349 women; low certainty). Similarly, the addition of resveratrol to nifedipine may reduce the time needed to achieve blood pressure control (MD = -15.50 min, 95% CI -19.83 to -11.17) and increase the time to the next hypertensive crisis (MD = 2.50 h, 95% CI 2.09 to 2.91) (1 trial, 349 women; low certainty). No differences were observed for other outcomes or candidates (Salvia miltiorrhiza, Bryophyllum pinnatum , raspberry and cranberry extracts).

conclusionsECGC and resveratrol supplements have been investigated for potential effects in managing clinical signs and symptoms of preeclampsia; however, evidence on the clinical and adverse effects of polyphenols is limited and uncertain.

Indexed as

PolyphenolsPre-EclampsiaCatechinDietary SupplementsFemaleHumansNifedipinePregnancyRandomized Controlled Trials as TopicCatechinepigallocatechin gallateNifedipinePolyphenolscranberry extractDanshenECGCepigallocatechin gallatepolyphenolspreeclampsiapregnancyraspberry extractresveratrolSalvia miltiorrhiza

Identifiers

PMID40025969
PMCPMC12051244

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.