Methods |
Sequentially‐numbered, opaque envelopes containing drug or placebo. |
Participants |
103 women without complications at term with ruptured membranes. 43 were nulliparous. |
Interventions |
Oral misoprostol 100 mcg or placebo 6‐hourly for 2 doses followed by dinoprostone gel 1 mg 6‐hourly until in labour. |
Outcomes |
Labour and delivery outcomes.
Neonatal outcomes. |
Notes |
7 postrandomisation exclusions. Placebo looked and tasted different to misoprostol. |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
Low risk |
Randomisation occurred by using computer generated numbers. |
Allocation concealment (selection bias) |
Low risk |
A ‐ Adequate: Sequentially‐numbered, opaque envelopes containing drug or placebo. |
Incomplete outcome data (attrition bias)
All outcomes |
Unclear risk |
Insufficient information to permit judgement of ‘Low risk’ or ‘High risk’ |
Selective reporting (reporting bias) |
Unclear risk |
Insufficient information to permit judgement of ‘Low risk’ or ‘High risk’ |
Other bias |
Unclear risk |
Insufficient information to permit judgement of ‘Low risk’ or ‘High risk’ |
Blinding of participants and personnel (performance bias)
All outcomes |
Low risk |
The study was double blinded. |
Blinding of outcome assessment (detection bias)
All outcomes |
Low risk |
The study was double blinded. |