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. 2019 Mar 13;2019(3):CD012473. doi: 10.1002/14651858.CD012473.pub2

Kukkonen 2008.

Methods Study design: randomised, placebo‐controlled, double‐blind trial
Unit: none specified
Location: Helsinki, Finland
Setting: outpatient
Participants Sample size: 1018 infants
Number of dropouts/withdrawals: not reported but 939 completed the 6‐month follow‐up and 925 completed the 2‐year follow‐up
Age: not reported
Inclusion criteria: pregnant women carrying children at increased risk of allergy recruited from antenatal clinics
Exclusion criteria: < 37 weeks' gestational age, twin baby, major malformation
Interventions Intervention (n = 468): pregnant women from 36 weeks took capsules containing a mixture of Lactobacillus rhamnosus GG and LC705, Bifidobacterium breve Bb99 and Propiobibacterium freudenreichii ssp shermanii JS (8–9 × 109 CFUs in each capsule). For 6 months after birth, the infants received 1 opened capsule of the same probiotics and 0.8 g of galacto‐oligosaccharides in liquid form daily
Control (n = 471): placebo
Duration of intervention: 4 weeks before delivery and 6 months after birth
Outcomes Primary outcomes: neonatal morbidity, infantile colic and defecation, feeding‐related behaviours (vomiting, constipation, excessive crying and abdominal discomfort)
Secondary outcomes: anthropometric measurement, infection, antibiotics and other disease
Timings of measurements: 3, 6, 12 and 24 months
Notes Study start date: November 2000
Study end date: March 2003
Declared DOI: none
Perceived DOI: none
Funding source: Helsinki University Central Hospital Research Funds and Valio
Clinical trials record:NCT00298337
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Comment: randomised, double‐blind, placebo‐controlled study with 2 parallel groups and computer‐generated block randomisation at 35 weeks' gestation.
Allocation concealment (selection bias) Unclear risk Comment: not mentioned. We contacted the study author but received no response.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Comment: blinded
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Comment: blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: none noted
Selective reporting (reporting bias) High risk Comment: while the manuscript mentioned a primary outcome of colic, it was not explicitly stated in the trial registration record.
Other bias Low risk Comment: none noted