Methods |
5‐arm controlled randomised trial |
Participants |
248 women were randomised in a hospital setting in Turkey. The population comprised women of parity 5 or less, a singleton pregnancy, at both high and low risk for PPH, who delivered by vaginal delivery. Exclusion criteria comprised women undergoing caesarean section, or those with placenta praevia, previous PPH, APH, non‐cephalic presentation, multiple pregnancy, intrauterine death, grand multiparity (more than 5), fibroids, pre‐eclampsia or anticoagulation therapy. |
Interventions |
No treatment versus 400 mcg to 800 mcg of misoprostol administered orally, vaginally or rectally |
Outcomes |
The study recorded the following outcomes: additional uterotonics; transfusion; third stage duration (minutes); diarrhoea; shivering; abdominal pain. |
Notes |
Contact with study authors for additional information: yes. Additional data from authors: no |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Low risk |
Generated by random tables. |
Allocation concealment (selection bias) |
Unclear risk |
Allocation concealment was not reported. |
Blinding of participants and personnel (performance bias)
All outcomes |
Unclear risk |
Blinding (of study participants and caregivers) was not reported. |
Blinding of outcome assessment (detection bias)
All outcomes |
Unclear risk |
Assessor blinding was not reported. |
Objective assessment of blood loss |
Unclear risk |
Methods of appraising blood loss were not reported. |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
Data were collected completely from all randomised study participants. |
Selective reporting (reporting bias) |
Unclear risk |
The protocol of the study was unavailable for verification. |
Intention to treat analysis |
Low risk |
All those who were enrolled and randomly allocated to treatment were included in the analysis, in the groups to which they were randomised. |
Funding source |
Unclear risk |
Source(s) of funding for the study were not reported. |