Tankeyoon 1976.
Methods | Design: prospective metabolic study; focused on metabolic effects of contraceptive methods Location: Bangkok, Thailand Time frame: no information Sample size estimation and outcome of focus: no sample size calculation; focused on metabolic effects of contraceptive methods |
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Participants | 32 healthy women attending the family planning clinic; age 18 to 38 years Inclusion criteria: > 6 weeks postpartum and no other steroid use for past 3 months Exclusion criteria: no information |
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Interventions | 1) DMPA 150 mg (3‐month intervals) (N = 16) 2) COC: d‐norgestrel 50 µg + EE 50 µg (N = 16) | |
Outcomes | Percent of cases with ≥ 1 kg increase or decrease in body weight by contraceptive method Follow‐up: 1, 2, 3, 6, 9, 12 months |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Women receiving contraceptive method; presumably chose method |
NOS selection (NRS) | Low risk | Exposed: clinic population, volunteered for study Non‐exposed: same as exposed group but chose different contraceptive Exposure: presumably from clinic records |
NOS comparability (NRS) | Low risk | Analysis: adjusted for pretreatment value |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not feasible due to women presumably having chosen method |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | No information; objective outcome measure |
Incomplete outcome data (attrition bias) All outcomes | High risk | Loss to follow‐up: 19% by 12 months; DMPA 2/16 (13%) and COC 4/16 (25%) Differential losses between groups though sample sizes are small Reasons for missing data not specified |