Methods |
Randomised controlled trial, not blinded |
Participants |
Postpartum haemorrhage (blood loss of ≥1000 ml or a decrease in Hb concentration of ≥1.9 g/dL, or both) and had an Hb between 4.8 g/dL and 7.9 g/dL 12 to 24 hours after delivery
|
Interventions |
In the liberal group, participants received at least 1 unit of red blood cells; the trialists aimed to reach an Hb concentration of at least 8.9 g/dL. In the restrictive group, participants received no transfusion. |
Outcomes |
Primary outcome was physical fatigue 3 days postpartum using the Multidimensional Fatigue Inventory scale |
Notes |
‐ |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Unclear risk |
The use of random sequence generation was not stated. |
Allocation concealment (selection bias) |
Low risk |
The trial used a web‐based application with block randomisation of variable block size. |
Blinding of participants and personnel (performance bias)
All outcomes |
Unclear risk |
Participants were not blinded. |
Blinding of outcome assessment (detection bias)
All outcomes |
High risk |
The primary outcome was based on a questionnaire. |
Incomplete outcome data (attrition bias)
All outcomes |
High risk |
20% of data for the primary outcome was missing. |
Selective reporting (reporting bias) |
Low risk |
No reporting bias was apparent. |
Other bias |
Low risk |
No other biases were apparent. |