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. 2019 Jun 17;2019(6):CD002253. doi: 10.1002/14651858.CD002253.pub4

Niromanesh 2005*.

Methods Randomisation method not discussed in paper.
Mirza Khochak khan Hospital, Tehran, Iran. No information on study duration.
Participants 100 women in Tehran, Iran, with fetal deaths between 14 and 25 weeks.
Interventions Vaginal misoprostol: 400 mcg (n = 50) vs 600 mcg (n = 50) ‐ both 12‐hourly for 48 hours.
Outcomes Miscarriage; surgical evacuation; adverse effects.
Funding No information on funding.
Declarations of interest No information on conflicts of interest.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: randomisation method not discussed in paper.
Allocation concealment (selection bias) Unclear risk Comment: no information on allocation concealment.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: no information on loss to follow up, number of eligible patients, etcetera.
Selective reporting (reporting bias) Unclear risk Comment: side effects mentioned in the results (table 2) were not mentioned in the methods section; unclear if these were all outcomes that were measured.
Other bias Low risk No other source of bias could be detected
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Comment: no information on blinding, also no statements on use of placebo. Probaby no blinding (since the difference between 2 or 3 tablets would be clear for both patients as well as personnel.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Comment: no information on blinding of outcome assessment, probably not done.