| Methods | This study was conducted at St. Mary Abbots hospital, London during 1936. | |
| Participants | Pregnant women less than 24 weeks of gestation. No baseline characteristics comparison was performed. | |
| Interventions | Intervention group (n = 50) received calcium lactate 20 grains, vitamin A 11,000 IU, D 450 IU. Placebo group did not receive any intervention. | |
| Outcomes | Albuminuria + hypertension, hypertension, albuminuria, hyperemeses, oedema, headache, cramps, insomnia. | |
| Notes | There was no proof that all the patients in intervention took capsules (vitamin A and D) and tablets (calcium lactate) regularly. Outcomes included in this study were not of review interest. | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Low risk | Quote: "An equal number of blue and white beads were placed in a box. Each women accepted for the experiment was asked to draw a bead from the box. Those who drew blue beads were placed in group A while those who drew white beads were placed in group B." Comment: probably done. |
| Allocation concealment (selection bias) | High risk | Comment: probably not done. |
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No exclusion and attrition were reported. |
| Selective reporting (reporting bias) | Low risk | Comment: all outcomes mentioned in the methods section were presented in the paper. |
| Other bias | Low risk | Comment: no other bias was identified. |
| Blinding of participants and personnel (performance bias) All outcomes | High risk | Quote: "participants were divided into 2 groups, the intervention group received extra vitamins and the control did not receive any intervention". Comment: probably not blinded. |
| Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "symptoms were recorded by independent antenatal officers who had no knowledge as to which patients were receiving the additional substances". Comment: outcome assessors were blinded to the treatment assignment. |