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. 2014 Oct 10;2014(10):CD000169. doi: 10.1002/14651858.CD000169.pub3

Morley 1964 NGA.

Methods Trial design: Quasi‐RCT
Data collected: 1957
Length of follow‐up: from first antenatal visit to delivery
Frequency of follow‐up: insufficient detail (drugs given monthly)
Participants All women
Number: 429
Inclusion criteria: all pregnant women registered at dispensary
Excluded: none stated
Interventions
  1. Pyrimethamine: monthly

  2. Placebo


Other: fever treated with chloroquine sulphate in both groups
Administration supervised: women were given drugs during antenatal visits
Outcomes
  1. Antenatal weight gain

  2. Fever episodes

  3. Parasitaemia

  4. Placental infection

  5. Birthweight

  6. Perinatal mortality

Notes Location: Nigeria
Urban/rural: rural (the village of Imesi)
Malaria transmission: holoendemic area
Drug resistance: none
Funding: no information
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk "As the pregnant women were registered at the dispensary, they were given consecutive numbers and allotted to one or other of two groups. All women with even numbers were given 2 tablets (50 mg) of pyrimethamine once a month… The control group (the odd numbers) were given two tablets of placebo".
Comment: not randomized.
Allocation concealment (selection bias) Unclear risk Insufficient detail provided.
Blinding (performance bias and detection bias) 
 All outcomes Low risk Pyrimethamine and "similar tablets" placebo were used
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk "Blood films were examined in the hospital laboratory… The technicians did not know to which group a mother belonged."
Assessors blinded.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Birthweight: data available for 93.7% (402/429 women). Incomplete data outcome for 6.3% (27/429) women: 17 stillbirths and 10 twin deliveries were excluded.
Selective reporting (reporting bias) Low risk No selective reporting observed.
Other bias Low risk None identified.