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. 2012 Aug 15;2012(8):CD000494. doi: 10.1002/14651858.CD000494.pub4

Comparison 13. Intramuscular prostaglandin versus injectable uterotonics (subgroups by low‐ and high‐risk pregnancy).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Postpartum haemorrhage (>= 500 mL) 5 564 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.70, 1.61]
1.1 Low‐risk women 3 415 Risk Ratio (M‐H, Fixed, 95% CI) 1.12 [0.53, 2.37]
1.2 High‐risk women 2 149 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.62, 1.68]
2 Severe postpartum haemorrhage (>= 1000 mL) 2 119 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.14, 1.20]
2.1 Low‐risk women 1 50 Risk Ratio (M‐H, Fixed, 95% CI) 0.64 [0.06, 6.57]
2.2 High‐risk women 1 69 Risk Ratio (M‐H, Fixed, 95% CI) 0.36 [0.11, 1.23]
3 Blood loss (mL) 8   Mean Difference (IV, Fixed, 95% CI) Totals not selected
3.1 Low‐risk women 6   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
3.2 High‐risk women 2   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Use of additional uterotonics 4 422 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.28, 3.68]
4.1 Low‐risk women 4 422 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.28, 3.68]
4.2 High‐risk women 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Blood transfusion 2 129 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.39, 2.86]
5.1 Low‐risk women 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 2.0 [0.40, 10.11]
5.2 High‐risk women 1 69 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.17, 2.53]
6 Manual removal of placenta 5 631 Risk Ratio (M‐H, Fixed, 95% CI) 1.09 [0.31, 3.81]
6.1 Low‐risk women 4 562 Risk Ratio (M‐H, Fixed, 95% CI) 3.22 [0.13, 77.34]
6.2 High‐risk women 1 69 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.20, 3.39]
7 Duration of third stage (minutes) 7   Mean Difference (IV, Fixed, 95% CI) Totals not selected
7.1 Low‐risk women 5   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.2 High‐risk women 2   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Postpartum haemoglobin 1 215 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐0.27, 0.27]
8.1 Low‐risk women 1 215 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐0.27, 0.27]
8.2 High‐risk women 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Any side‐effect 1 50 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9.1 Low‐risk women 1 50 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
9.2 High‐risk women 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Nausea 3 280 Risk Ratio (M‐H, Fixed, 95% CI) 2.39 [0.36, 16.09]
10.1 Low‐risk women 2 200 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.07, 16.55]
10.2 High‐risk women 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 5.0 [0.25, 100.97]
11 Vomiting 3   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
11.1 Low‐risk women 3   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11.2 High‐risk women 0   Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
12 Headache 2 295 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.28, 3.57]
12.1 Low‐risk women 1 215 Risk Ratio (M‐H, Fixed, 95% CI) 0.20 [0.01, 4.08]
12.2 High‐risk women 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 2.0 [0.39, 10.31]
13 Abdominal pain 3 331 Risk Ratio (M‐H, Fixed, 95% CI) 4.99 [1.46, 17.05]
13.1 Low‐risk women 2 262 Risk Ratio (M‐H, Fixed, 95% CI) 5.33 [1.40, 20.30]
13.2 High‐risk women 1 69 Risk Ratio (M‐H, Fixed, 95% CI) 3.26 [0.14, 77.46]
14 Diarrhoea 5 617 Risk Ratio (M‐H, Fixed, 95% CI) 12.28 [4.47, 33.70]
14.1 Low‐risk women 4 537 Risk Ratio (M‐H, Fixed, 95% CI) 11.88 [4.03, 35.03]
14.2 High‐risk women 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 15.0 [0.89, 254.13]
15 Pyrexia (>= 38 degrees C) 1 112 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
15.1 Low‐risk women 1 112 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
15.2 High‐risk women 0 0 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]