Comparison 2. Controlled cord traction versus no controlled cord traction (excluding sites using ergometrine ‐ not prespecified).

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Blood loss ≥ 1000 mL	3	23043	Risk Ratio (M‐H, Fixed, 95% CI)	0.91 [0.74, 1.11]
1.1 Routine uterotonics	3	23043	Risk Ratio (M‐H, Fixed, 95% CI)	0.91 [0.74, 1.11]
2 Manual removal of the placenta	2		Risk Ratio (M‐H, Random, 95% CI)	Totals not selected
2.1 Routine uterotonics	2		Risk Ratio (M‐H, Random, 95% CI)	0.0 [0.0, 0.0]
3 Blood loss ≥ 500 mL	3	23043	Risk Ratio (M‐H, Fixed, 95% CI)	0.94 [0.87, 1.01]
3.1 Routine uterotonics	3	23043	Risk Ratio (M‐H, Fixed, 95% CI)	0.94 [0.87, 1.01]
4 Blood loss	2	22825	Mean Difference (IV, Fixed, 95% CI)	‐8.00 [‐15.89, ‐4.11]
4.1 Routine uterotonics	2	22825	Mean Difference (IV, Fixed, 95% CI)	‐8.00 [‐15.89, ‐4.11]
5 Duration of 3rd stage of labour (minutes)	2	22819	Std. Mean Difference (IV, Random, 95% CI)	‐0.54 [‐0.56, ‐0.51]
5.1 Routine uterotonics	2	22819	Std. Mean Difference (IV, Random, 95% CI)	‐0.54 [‐0.56, ‐0.51]
6 Blood transfusion	2	23005	Risk Ratio (M‐H, Random, 95% CI)	0.85 [0.46, 1.58]
6.1 Routine uterotonics	2	23005	Risk Ratio (M‐H, Random, 95% CI)	0.85 [0.46, 1.58]
7 Additional uterotonics used	3	23175	Risk Ratio (M‐H, Fixed, 95% CI)	0.92 [0.87, 0.98]
7.1 Routine uterotonics	3	23175	Risk Ratio (M‐H, Fixed, 95% CI)	0.92 [0.87, 0.98]
8 Maternal death or severe morbidity	2	22880	Risk Ratio (M‐H, Fixed, 95% CI)	1.06 [0.55, 2.05]
8.1 Routine uterotonics	2	22880	Risk Ratio (M‐H, Fixed, 95% CI)	1.06 [0.55, 2.05]
9 Operative procedures	2	23005	Risk Ratio (M‐H, Random, 95% CI)	1.46 [0.14, 15.73]
9.1 Routine uterotonics	2	23005	Risk Ratio (M‐H, Random, 95% CI)	1.46 [0.14, 15.73]
10 Maternal death	2	23016	Risk Ratio (M‐H, Fixed, 95% CI)	1.00 [0.06, 16.01]
10.1 Routine uterotonics	2	23016	Risk Ratio (M‐H, Fixed, 95% CI)	1.00 [0.06, 16.01]
11 Uterine inversion (not prespecified)	2	4257	Risk Ratio (M‐H, Fixed, 95% CI)	0.0 [0.0, 0.0]
11.1 Routine uterotonics	2	4257	Risk Ratio (M‐H, Fixed, 95% CI)	0.0 [0.0, 0.0]