Jerbi 2007.

Methods	RCT of individual women in low‐income setting
Participants	Setting: Sousse, Tunisia. Low‐income country Women with singleton pregnancies expecting to give birth vaginally Exclusion criteria: placenta praevia, APH, non‐cephalic presentation, intrauterine death, parity > 5, uterine fibroids, anticoagulation therapy, history of PPH, history of CS
Interventions	Intervention: active management of 3rd stage (N = 65) IV flash injection of 5 IU oxytocin at time of delivery of anterior shoulder immediate cord clamping and cutting CCT with gentle fundal pressure when signs of separation appeared manual removal if not delivered by 30 min or if haemorrhaging Comparison: mixed management of 3rd stage (N = 65) no routine uterotonic (not stated in publication, but study author provided information on 19 March 2011) immediate cord clamping and cutting CCT plus gentle fundal pressure when signs of separation appeared manual removal if not delivered by 30 min or if haemorrhaging Data included in comparison 12
Outcomes	Pre‐specified: reduction in HCT and Hb
Notes	We contacted the study authors again on 14 March 2011, for further information on the management in the comparison arm, the methodology they used and data obtained. Reply received 19 March 2011. No publication has emanated, no further data were provided, but methodology was clarified Dates of study: February‐March 2005 Funding sources: not reported Declarations of interest: not reported
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Unclear risk	As per www.randomization.com (not stated in publication but information provided by study author on 19 March 2011)
Allocation concealment (selection bias)	High risk	Not concealed in any way (not stated in publication, but in information provided by study author on 19 March 2011)
Blinding of participants and personnel (performance bias) All outcomes	High risk	None. Unblinded assessment made
Blinding of outcome assessment (detection bias) All outcomes	Unclear risk	No information provided
Incomplete outcome data (attrition bias) All outcomes	Low risk	No loss described in publication and confirmed by information from study author on 19 March 2011. Study authors also provided information that the analysis was by "intention to treat"
Selective reporting (reporting bias)	High risk	No study protocol found. Some outcomes reported but not noted in methods of paper
Other bias	High risk	Women reported to have been allocated to groups after placental delivery yet active management group supposedly had oxytocin with the anterior shoulder