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. 2010 Dec 8;2010(12):CD000127. doi: 10.1002/14651858.CD000127.pub2

India 2001.

Methods See 'risk of bias' table below.
Participants 100 women with eclampsia. 70 in first pregnancy and 79 recruited before delivery.
Interventions Diazepam: 10 mg iv bolus. Then infusion of 40 mg/500 ml for 24 hr, rate titrated against conscious level. 20 mg/500 ml for a further 24 hr. Then 10 mg im, changed when possible to oral. For recurrent convulsions, 10 mg iv.
MgSO4: 4 g in 25% MgSO4 over 10 min. The 5 g IM every 4 hr until 24 hr after delivery or, if postpartum at randomisation, for 24 hr.
Outcomes Women: death, recurrence of convulsions, renal failure, pneumonia.
Babies: denominators not reported.
Notes Outcomes related to labour and delivery not reported separately for women randomised before delivery.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Sequence generated by Department of Statistics at Banaras Hindu University, but method not stated.
Allocation concealment? Unclear risk Allocation was in envelopes, and patient was asked to choose one. No further information.
Blinding? 
 All outcomes Unclear risk Blinding not mentioned. Blinding of the 2 treatment regimens would have been impossible.
Incomplete outcome data addressed? 
 All outcomes Unclear risk Post‐randomisation exclusions not mentioned. No denominators reported for women randomised before birth.