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. 2013 Jul 31;2013(7):CD001449. doi: 10.1002/14651858.CD001449.pub3

Mexico 1993.

Methods Consecutively numbered sealed opaque envelopes.
Participants 27 women at 28‐42 weeks with severe PE (BP 150 mmHg or more, 2/3+ protein), and 1 or more of epigastric pain, convulsions, headache. No chronic hypertension, or renal or cardiac disease.
Interventions Hydralazine: 5 mg IV. Repeated every 20 min if DBP 110 mmHg or more, max x 3. If BP not controlled, chlorpromazine 12.5 mg IV plus 12.5 mg IM x 2.
 Nifedipine: 10 mg sl. Repeated every 20 min if DBP 110 mmHg or more, max x 3. If BP not controlled, chlorpromazine 12.5 mg IV plus 12.5 mg IM x 2.
Outcomes Woman: control of BP, days in hospital (mean).
 Baby: Apgar at 1 and 5 min (mean).
Notes All women had a diazepam infusion for 24 hr after delivery. Data not included in analysis. Mean hospital stay (days): for nifedipine n = 13, 5.5 SD [2.1] and for hydralazine n = 14, 6.0 [2.2].
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk “The process of randomisation was carried out using numbered permutation blocks of 6; using a table of random numbers ....” 
Allocation concealment (selection bias) Low risk A ‐ Adequate. “..the blocks were selected and the allocation sealed in opaque envelopes and numbered progressive order.”
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not reported, but regimens different.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not reported, but regimens different.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Unclear, article in Spanish and can not tell from translation.
Selective reporting (reporting bias) Unclear risk Unclear, article in Spanish and can not tell from translation.
Other bias Unclear risk Unclear, article in Spanish and can not tell from translation.