{"id":8946,"date":"2025-06-25T16:45:41","date_gmt":"2025-06-25T16:45:41","guid":{"rendered":"https:\/\/www.aqtn.ca\/questions\/?p=8946"},"modified":"2025-06-23T19:38:57","modified_gmt":"2025-06-23T19:38:57","slug":"calcium-before-pregnancy-for-preventing-hypertensive-disorders","status":"publish","type":"post","link":"https:\/\/aqtn.ca\/questions\/association-quebec-aqtn-other-posts\/calcium-before-pregnancy-for-preventing-hypertensive-disorders\/","title":{"rendered":"Calcium avant la grossesse pour pr\u00e9venir les troubles hypertensifs &#8211; Calcium before pregnancy for preventing hypertensive disorders"},"content":{"rendered":"<p><a href=\"#en\"><strong>ENGLISH BELOW<\/strong><\/a><\/p>\n<h2 style=\"background: #2271b1; color: #fff; padding: 10px;\">INTRODUCTION<\/h2>\n<div class=\"su-row\">\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p style=\"text-align: justify;\">Cette revue Cochrane examine si le fait de commencer une suppl\u00e9mentation en calcium avant ou au d\u00e9but de la grossesse peut r\u00e9duire le risque de troubles hypertensifs pendant la grossesse, tels que la pr\u00e9\u00e9clampsie et l\u2019hypertension gestationnelle. Ces conditions sont parmi les principales causes de morbidit\u00e9 et de mortalit\u00e9 maternelles et n\u00e9onatales, en particulier dans les pays \u00e0 revenu faible ou moyen. La revue se penche sur l\u2019efficacit\u00e9 d\u2019une intervention pr\u00e9coce en calcium (avant 20 semaines de gestation) comparativement \u00e0 une suppl\u00e9mentation amorc\u00e9e plus tard.<\/p>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p>Comment la suppl\u00e9mentation en calcium commenc\u00e9e avant ou au d\u00e9but de la grossesse se compare-t-elle au placebo pour pr\u00e9venir les troubles hypertensifs chez les femmes ayant des ant\u00e9c\u00e9dents de pr\u00e9\u00e9clampsie?<\/p>\n<p><strong>Note<\/strong> : Les donn\u00e9es probantes actuelles ne permettent ni de soutenir ni de rejeter l\u2019utilisation syst\u00e9matique de la suppl\u00e9mentation en calcium avant la conception et en d\u00e9but de grossesse.<\/p>\n<p><strong>Reference Article :<\/strong><br \/>\n<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD011192.pub3\/full\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD011192.pub3\/full<\/a><\/p>\n<\/div><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"su-row\">\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<h2 style=\"background: #2271b1; color: #fff; padding: 5px;\">R\u00c9SUM\u00c9 DES R\u00c9SULTATS<\/h2>\n<div class=\"su-list\" style=\"margin-left:0px\">\n<ul style=\"text-align: justify; font: 14px\/20px arial !important;\">\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>Participants <\/strong> : Personnes enceintes ayant commenc\u00e9 une suppl\u00e9mentation en calcium avant ou au d\u00e9but de la grossesse.<\/li>\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>R\u00e9sultats primaires<\/strong> :<br \/>\n\u2022 Pr\u00e9\u00e9clampsie : L\u00e9g\u00e8re r\u00e9duction du risque, mais les donn\u00e9es probantes sont limit\u00e9es.<br \/>\n\u2022 Hypertension gestationnelle : R\u00e9duction possible, bien que les r\u00e9sultats ne soient pas statistiquement solides.<\/li>\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>R\u00e9sultats secondaires<\/strong>:<br \/>\n\u2022 La naissance pr\u00e9matur\u00e9e et le faible poids \u00e0 la naissance pourraient \u00eatre r\u00e9duits.<br \/>\n\u2022 Effets secondaires et observance : G\u00e9n\u00e9ralement bien tol\u00e9r\u00e9e, mais un l\u00e9ger inconfort gastro-intestinal a \u00e9t\u00e9 observ\u00e9 chez certaines participantes.<\/li>\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>Qualit\u00e9 des donn\u00e9es probantes<\/strong> : Allait de faible \u00e0 mod\u00e9r\u00e9e en raison de la petite taille des \u00e9chantillons et du nombre limit\u00e9 d\u2019essais (3 \u00e9tudes, environ 1234 femmes au total).<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<h2 style=\"background: #2271b1; color: #fff; padding: 5px;\">CONCLUSION<\/h2>\n<p style=\"text-align: justify;\">La revue sugg\u00e8re que la suppl\u00e9mentation en calcium commenc\u00e9e avant ou au d\u00e9but de la grossesse pourrait r\u00e9duire le risque de troubles hypertensifs pendant la grossesse, mais les donn\u00e9es probantes sont limit\u00e9es et non concluantes. Davantage de recherches de haute qualit\u00e9 sont n\u00e9cessaires pour confirmer ces bienfaits et d\u00e9terminer le moment optimal ainsi que le bon dosage.<\/p>\n<h2 style=\"background: #2271b1; color: #fff; padding: 5px;\">PENS\u00c9ES FINALES<\/h2>\n<p style=\"text-align: justify;\">Bien que prometteuse, la suppl\u00e9mentation pr\u00e9coce en calcium n\u2019est pas encore une intervention universellement recommand\u00e9e pour toutes les personnes enceintes. Dans les contextes o\u00f9 l\u2019apport en calcium est faible et le risque de pr\u00e9\u00e9clampsie \u00e9lev\u00e9, elle peut \u00eatre envisag\u00e9e comme une mesure pr\u00e9ventive peu co\u00fbteuse. Des essais futurs avec des populations plus larges et diversifi\u00e9es, ainsi qu\u2019une rigueur m\u00e9thodologique accrue, sont essentiels pour \u00e9valuer son efficacit\u00e9 de fa\u00e7on plus d\u00e9finitive.<\/p>\n<\/div><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p><a name=\"en\"><\/a><\/p>\n<h2 style=\"background: #2271b1; color: #fff; padding: 10px;\">INTRODUCTION<\/h2>\n<div class=\"su-row\">\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p style=\"text-align: justify;\">This Cochrane review investigates whether starting calcium supplementation before or in early pregnancy can reduce the risk of hypertensive disorders during pregnancy, such as pre-eclampsia and gestational hypertension. These conditions are leading causes of maternal and neonatal morbidity and mortality, especially in low- and middle-income countries. The review focuses on whether early calcium intervention (before 20 weeks&#8217; gestation) is more effective than supplementation begun later.<\/p>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p>How does calcium supplementation commencing before or early in pregnancy compare with placebo for preventing hypertensive disorders in women with a history of pre\u2010eclampsia?<\/p>\n<p><strong>Note<\/strong> : Current evidence neither supports nor refutes the routine use of calcium supplementation before conception and in early pregnancy.<\/p>\n<p><strong>Reference Article :<\/strong><br \/>\n<a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD011192.pub3\/full\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD011192.pub3\/full<\/a><\/p>\n<\/div><\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"su-row\">\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<h2 style=\"background: #2271b1; color: #fff; padding: 5px;\">SUMMARY OF FINDINGS<\/h2>\n<div class=\"su-list\" style=\"margin-left:0px\">\n<ul style=\"text-align: justify; font: 14px\/20px arial !important;\">\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>Participants<\/strong> : Pregnant individuals who started calcium supplementation before or in early pregnancy.<\/li>\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>Primary outcomes<\/strong> :<br \/>\n\u2022 Pre-eclampsia: Slight reduction in risk, but evidence is limited.<br \/>\n\u2022 Gestational hypertension: Potential reduction, though not statistically robust.<\/li>\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>Secondary outcomes<\/strong>:<br \/>\n\u2022 Preterm birth and low birth weight may be reduced.<br \/>\n\u2022 Side effects and compliance: Generally well tolerated, but some mild gastrointestinal discomfort noted.<\/li>\n<li><i class=\"sui sui-chevron-circle-right\" style=\"color:#0a4d76\"><\/i> <strong>Evidence quality<\/strong>: Ranged from low to moderate due to small sample sizes and limited number of trials (3 studies, ~1234 women total).<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<h2 style=\"background: #2271b1; color: #fff; padding: 5px;\">CONCLUSION<\/h2>\n<p style=\"text-align: justify;\">The review suggests that calcium supplementation initiated before or in early pregnancy may reduce the risk of hypertensive disorders in pregnancy, but the evidence is limited and not conclusive. More high-quality research is needed to confirm these benefits and establish the optimal timing and dosage.<\/p>\n<h2 style=\"background: #2271b1; color: #fff; padding: 5px;\">FINAL THOUGHTS<\/h2>\n<p style=\"text-align: justify;\">While promising, early calcium supplementation is not yet a universally recommended intervention for all pregnant individuals. In settings where calcium intake is low and the risk of pre-eclampsia is high, it may be considered as a low-cost preventive measure. Future trials with larger, more diverse populations and better methodological rigor are essential to determine its effectiveness more definitively.<\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>ENGLISH BELOW INTRODUCTION &nbsp; &nbsp; &nbsp; INTRODUCTION &nbsp;<\/p>\n","protected":false},"author":36,"featured_media":29411,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-8946","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-association-quebec-aqtn-other-posts"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Calcium avant la grossesse pour pr\u00e9venir les troubles hypertensifs &#8211; 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