UK 1983b.
Methods | Allocation concealment: not stated. Authors state: "allocated at random". Stratified by gestational age. Two arms | |
Participants | 100 women with singleton pregnancy and DBP >/= 95 mmHg x 2 at least 24 hrs apart, or > 105 mmHg x 1. Excluded: asthma, heart failure, or heart block, diabetes, renal disease, or taking other hypertensive medication. | |
Interventions | Exp: oral oxprenolol 80 mg x 2/day to 320 mg x 2/day. (50 women)
Control: oral methyldopa 250 mg x 3/day to 1000 mg x 3/day. (50 women) If BP not controlled, hydralazine added to both groups. |
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Outcomes | Women: severe HT, proteinuria (> trace on dipstick), induction of labour, caesarean section, additional antihypertensive, hospital admission. Babies: perinatal death, birthweight (mean), 5‐min Apgar < 7, antenatal fetal heart rate. | |
Notes | Korotkoff phase IV used for DBP. Random zero sphygmomanometer. Funding: funded by industry. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not described. |
Allocation concealment (selection bias) | Unclear risk | Not described "...allocated at random...". Stratified by gestational age. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Open‐label trial. |
Blinding of outcome assessment (detection bias) All outcomes | High risk | No. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 4 women (4%) excluded, 2 lost to follow‐up, 2 abortions. |
Selective reporting (reporting bias) | Unclear risk | Assessment from published study report. |
Other bias | High risk | Funding: funded by industry. |