The efficacy of glycerin suppositories for preterm infants: A meta-analysis of randomized controlled studies

Abstract

Background: The effect of glycerin suppositories on full enteral feeds remained controversial in preterm infants, and thus we conducted this meta-analysis to identify the influence of glycerin suppositories on full enteral feeds in preterm infants. Methods: The protocol was registered in PROSPERO (CRD20214283090). We searched PubMed, EMbase, Web of science, EBSCO and Cochrane library databases through February 2020, and included randomized controlled trials assessing the effect of glycerin suppositories on full enteral feeds in preterm infants. This meta-analysis was performed using the random-effect model. Results: Six Randomized controlled trials were included in the meta-analysis. Overall, compared with control group in preterm infants, glycerin suppositories demonstrated no significant effect on days to full enteral feeds (mean difference = −0.26; 95% confidence interval [CI] = −1.16 to 0.65; P = .58), the incidence of necrotizing enterocolitis (odd ratio = 3.62; 95% CI = 0.56–23.32; P = .18) or death (odd ratio = 1.46; 95% CI = 0.40–5.40; P = .57), but may increase the days under phototherapy (mean difference = 0.50; 95% CI = 0.43–0.57; P < .00001). Only low heterogeneity was seen among all outcomes. Conclusions: Glycerin suppositories may provide no additional benefits to preterm infants.