Cardoso 2004a.
Study characteristics | ||
Methods | RCT | |
Participants | 50 women Inclusion criteria: term singleton pregnancies, ASA I, undergoing caesarean under spinal anaesthesia Exclusion criteria: chronic hypertension, gestation‐induced hypertension, cardiovascular or vascular brain disease, known fetal abnormalities and women with total or partial spinal anaesthesia failure Setting:Brazil |
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Interventions |
Colloid versus crystalloid preload: Group 1: received preload of modified fluid gelatin, 10 mL/kg Group 2: received preload of Ringer's lactate, 10 mL/kg All women received a standardised spinal anaesthetic technique and dose and standardised uterine displacement. |
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Outcomes |
Maternal: hypotension; nausea; vomiting; vasopressor consumption Neonatal: cord blood (presented as mean and SD); Apgar < 7 at 5 min |
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Notes | Hypotension was defined as decreases of more than 10% or more than 20% of baseline SBP. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Randomly allocated": method not described |
Allocation concealment (selection bias) | Unclear risk | "Drawing of closed envelopes" |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | "Double blind" – no further details |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | "Double blind" – no further details |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No losses to follow‐up |
Selective reporting (reporting bias) | High risk | Minimal results reporting: outcomes reported as means and SD only |
Other bias | Low risk | Similar baseline characteristics |