Reduced salt intake compared to normal dietary salt, or high intake, in pregnancy.
BACKGROUND
In the past women have been advised that lowering their salt intake might reduce their risk of pre-eclampsia. Although this practice has largely ceased, it remains important to assess the evidence about possible effects of advice to alter dietary salt intake during pregnancy.


OBJECTIVE
The objective of this review was to assess the effects of dietary advice to alter salt intake compared to continuing a normal diet, on the risk of pre-eclampsia and its consequences.


METHODS
We searched the register of trials maintained and updated by the Cochrane Pregnancy and Childbirth Group, and the Cochrane Controlled Trials Register Disc Issue 4, 1998.


METHODS
Studies were included if they were randomised trials of advice to either reduce or to increase dietary salt during pregnancy.


METHODS
All data were extracted independently by both reviewers.


RESULTS
Two trials were included, with 603 women. They compared advice about a low salt diet with no dietary advice. The confidence intervals for all of the outcomes reported were wide, and cross the no effect line. This includes pre-eclampsia (relative risk 1.11, 95% confidence interval 0.46 to 2.66). Even when taken together, these trials are insufficient to provide reliable information about the effects of advice on salt restriction during normal pregnancy. None of the trials included women with pre-eclampsia, so this review provides no reliable information about changes in salt intake for treatment of pre-eclampsia.


CONCLUSIONS
Salt consumption during pregnancy should remain a matter of personal preference.
Duley
L
L
Resource Centre for Randomised Trials, Institute of Health Sciences, Old Road, Headington, Oxford, UK, OX3 7LF. lelia.duley@ndm.ox.ac.uk
Henderson-Smart
D
D
D005260:Female; D006801:Humans; D010353:Patient Education as Topic; D011247:Pregnancy; D011295:Prenatal Care; D012982:Sodium, Dietary
D012982:Sodium, Dietary