Methods	Randomised controlled trial.
Participants	308 women with high-risk pregnancies (540 tests).
Interventions	270 non-stress tests and 270 manual stimulation tests.
Outcomes	Incidence of non-reactive tests and time needed to produce a reactive test
Notes	Report in only Abstract form.
Risk of bias
Bias	Authors’ judgement	Support for judgement
Random sequence generation (selection bias)	Unclear risk	Not described.
Allocation concealment (selection bias)	Unclear risk	Not described.
Blinding of participants and personnel (performance bias) All outcomes	High risk	Not blinded.
Blinding of outcome assessment (detection bias) All outcomes	Low risk	All fetal heart tracings were blindly reported by the same perinatologist who did not have information about the patients
Incomplete outcome data (attrition bias) All outcomes	Unclear risk	Unclear - data limited as report of trial in form of an Abstract
Selective reporting (reporting bias)	Unclear risk	Unclear - data limited as report of trial in form of an Abstract
Other bias	Unclear risk	Unclear - data limited as report of trial in form of an Abstract