Senturk 2013.
Methods | Randomised controlled trial undertaken in Turkey. | |
Participants | Women undergoing elective or urgent CS. Exclusion criteria ‐ high BMI, venous thromboembolism, uterine myoma, active liver or kidney diseases, polyhydramnios and overweight fetus, allergies to TA or other drugs, especially NSAID, or patients receiving antithrombotic treatment. |
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Interventions | Intervention group (N = 122) ‐ 1 g TA in 20 mL 5% glucose IV over 5 minutes 10 minutes before anaesthesia. Control group (N = 101) ‐ 20 mL 5 % glucose solution administered in the same manner as in intervention group. All patients received 20 IU oxytocin IV in bolus form after removal of placenta. |
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Outcomes | Blood loss (from incision until opening of the amniotic sac and then from placental separation until the end of surgery). Other outcomes ‐ haemoglobin difference, haematocrit difference, red blood cell count difference, pre‐ and postoperative haemoglobin. |
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Notes | All patients were operated under spinal anaesthesia by 2 surgeons. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Random number table. |
Allocation concealment (selection bias) | High risk | Not described.Discrepancy in numbers (122 vs 101). |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Double‐blind in title, but no description in methods. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Double‐blind in title, but no description in methods. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Double‐blind in title, but no description in methods. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Complete data. |
Selective reporting (reporting bias) | Unclear risk | No prior registration of protocol. |
Other bias | High risk | No description of blinding. |