Stuart 2014.
Methods | Time frame and location: March 2012 to June 2013; Chapel Hill, NC (USA) RCT, phase 4 Sample size calculation and outcome of focus: no information. Planned to enroll 190; randomized 35. Study stopped early; expulsion rate met a priori stopping rules. |
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Participants | General with N and source: 35 women, 18 to 45 years old; Women's Hospital of North Carolina Inclusion criteria (for antepartum enrollment): Pregnant and ≥ 24 weeks of estimated gestational age; intent to breastfeed for at least 6 months; plan to use LNG‐IUS postpartum; anticipation of vaginal delivery; HIV negative; intention to stay in Chapel Hill area for at least 6 months after birth; no medical or personal conditions that in the judgment of study staff preclude participation; no allergies to any component of LNG‐IUS; no known uterine anomalies; fluent in English No history of ectopic pregnancy, carcinoma of the breast, acute liver disease or liver tumor (benign or malignant); uterine or cervical neoplasia or unresolved abnormal pap smear; active pelvic inflammatory disease; hypersensitivity to component of LNG‐IUS; genital bleeding of unknown etiology; solid organ transplantation Additional eligibility criteria for trial entry (assessed postpartum): No endometritis or chorioamnionitis; membranes ruptured < 24 hours before delivery; no fever ≥ 38°C during intrapartum or postpartum period; did not receive medication other than pitocin or misoprostol to control postpartum bleeding; did not have blood loss > 750 mL intrapartum, blood transfusion for postpartum hemorrhage, third or fourth degree laceration at delivery; infant > 35 weeks gestation as determined by physical exam; weight at least 2727 grams; singleton birth; not in intensive care nursery; not diagnosed with condition that precludes long‐term feeding Exclusion criteria: no other mention |
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Interventions | Levonorgestrel‐releasing IUS (20 μg) with different insertion times Treatment: inserted within 48 hours of delivery Comparison: inserted 4 to 8 weeks after delivery |
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Outcomes | Measures: any breastfeeding Assessments: 6 months |
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Notes | Information from published conference abstract, ClinicalTrials.gov listing, and communication with investigator Full report to be submitted for publication by mid‐September, according to investigator. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | 1:1 allocation Computer generated by someone not involved with study activities, according to communication with investigator |
Allocation concealment (selection bias) | Low risk | Sequentially numbered opaque envelopes, according to communication with investigator |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Open label |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Six‐month analysis for LNG‐IUS continuation included all women randomized. |