Nigeria 2004.

Methods	See 'risk of bias' table below.
Participants	60 women with eclampsia, 25% delivered prior to entry.
Interventions	Diazepam: loading dose of 10 mg iv over 2 minutes administered and repeated when convulsion recurred. Then 10 mg iv every 6 hours to keep patient sedated but arousable for next 24 hours. Subsequent doses were held if the patient was still sedated when the next dose due. MgSO4: "Zuspan's" method, no further details given.
Outcomes	Woman: recurrence of convulsions, death, life threatening events, including pulmonary edema, cardiac arrest, respiratory depression, aspiration pneumonitis, renal failure, disseminated intravascular coagulation, cerebrovascular accidents, liver failure, postpartum haemorrhage, Glasgow Coma Score on admission and 24 hours after commencement of treatment. For women randomised prior to delivery: mode of delivery. Baby: Apgar scores, need for neonatal unit for intensive care, and perinatal deaths.
Notes	MgSO4 was the unfamiliar treatment.
Risk of bias
Bias	Authors' judgement	Support for judgement
Adequate sequence generation?	High risk	Computer‐generated random numbers, but then this was used to prepare treatment packs labelled "A" or "B".
Allocation concealment?	High risk	Sealed treatment packs marked "A" or "B," identical in size, shape, weight, and feel. Not clear in what order these packs were opened.
Blinding? All outcomes	High risk	Blinding not mentioned. Blinding of the 2 treatment regimens would have been impossible.
Incomplete outcome data addressed? All outcomes	Unclear risk	There is a discrepancy in some denominators, as the numbers for 'postpartum eclampsia' are not the same as randomised after delivery'.