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

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
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.
Outcomes Maternal: hypotension; nausea; vomiting; vasopressor consumption
Neonatal: cord blood (presented as mean and SD); Apgar < 7 at 5 min
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