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

USA 2005.

Methods Randomised, placebo‐controlled. No mention of random‐number generation scheme. Allocation concealment by pharmacy‐assigned numbers to opaque vials containing either misoprostol tablets or oxytocin ampoules. Outcome assessments were blinded.
Participants 352 women undergoing caesarean section in Orlando, Florida, USA.
Interventions Misoprostol 200 mcg buccal vs placebo at cord clamping. All women received 20 IU IV oxytocin in 1000 mL saline.
Outcomes Blood loss, additional uterotonics.
Blood loss was estimated following 'standard' procedures.
Notes No loss to follow‐up.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No mention of random‐number generation scheme.
Allocation concealment (selection bias) Low risk Allocation concealment by pharmacy‐assigned numbers to opaque vials containing either misoprostol tablets or oxytocin ampoules.
Blinding (performance bias and detection bias) 
 All outcomes Low risk "At no time before the data analysis were the assignments available to anyone but the pharmacy."
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No loss to follow‐up was reported.
Selective reporting (reporting bias) Low risk Primary outcomes of the review have been reported.
Other bias Low risk 2 groups were comparable.