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. 2015 Mar 20;2015(3):CD003988. doi: 10.1002/14651858.CD003988.pub2

Heikkilä 1982.

Methods Time frame and location: no time frame; conducted in Helsinki, Finland
Some methods from secondary article
Sample size calculation and outcome of focus: not specified
Participants General with N and source: 80 women, delivered at State Maternity Hospital
Inclusion criteria: breastfeeding and amenorrheic
Exclusion criteria: not specified
Interventions Treatment: levonorgestrel‐releasing IUD (30 μg)
Comparison: Nova T intrauterine device (IUD) (copper releasing)
Timing: inserted 6 weeks postpartum; range 29 to 56 days in one report, and 32 to 56 days in another
Outcomes Measures: breastfeeding duration (no sample sizes for analysis); infant growth measured outside of study and presented in figure without actual numbers
Assessment: unclear source and time frame; 75 days after insertion for analysis of breastfeeding data; secondary report notes recording of bleeding and spotting on cards and clinic visits at 3, 6, 12 months
Notes Third group was added later (not randomized); received levonorgestrel‐releasing IUD (10 μg)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "Divided at random" into 2 groups
Allocation concealment (selection bias) Unclear risk Not specified
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Participants did not know which IUD they received (30 μg/day LNG‐IUD or Nova T).
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Loss to follow‐up: none
 Discontinuation (expulsion or removal): 4 LNG‐IUD 30 μg; 4 Nova T. Also, 2 excluded from study due to uterine perforation at insertion (group not specified).
Sample sizes for analysis not specified or inconsistent across reports.