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. 2020 Jul 1;2020(7):CD002251. doi: 10.1002/14651858.CD002251.pub4

Adsumelli 2003.

Study characteristics
Methods RCT
Participants 50 women
Inclusion criteria: healthy term parturients, elective CS under spinal anaesthesia, ASA I‐II.
Exclusion criteria: women with chronic hypertension, multiple pregnancy, pregnancy‐induced hypertension, diabetes mellitus, body weight > 110 kg and contraindications to a spinal anaesthetic
Setting: USA
Interventions Compression device versus no compression device
Group 1 (n = 25): sequential compression device; with thigh‐high sleeves and a preset pressure of 50 mmHg
Group 2 (n = 25): no sleeves on lower limbs
Preloading with 20 mL/kg Ringer's lactate
Standardised anaesthetic technique and dose for all women
Outcomes Maternal: hypotension
Neonatal: Apgar score < 8 at 5 min
Notes Hypotension: defined as decrease MAP measurement by > 20% of baseline
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomisation method unknown
Allocation concealment (selection bias) Unclear risk "Sealed envelopes." No further detail given
Blinding of participants and personnel (performance bias)
All outcomes Low risk Hypotension treated by an anaesthetist who was blinded to the assigned group
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Not reported
Selective reporting (reporting bias) Low risk Not apparent
Other bias Low risk Not apparent