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

Sujata 2012.

Study characteristics
Methods RCT
Participants 100 women
Inclusion criteria: ASA I‐II, elective CS under SAB
Exclusion criteria: contraindication to SAB, peripartum bleeding > 1 L, multiple gestation, polyhydramnios, gestation < 37 weeks, any patient considered at high risk of DVT
Setting: India
Interventions Mechanical lower limb compression versus control
Group 1: mechanical pump with thigh‐level cuff applied to lower limbs in all subjects and switched on
Group 2: mechanical pump with thigh‐level cuff applied to lower limbs in all subjects but not switched on
All women received standardised aspiration prophylaxis, standardised monitoring, standardised spinal anaesthetic technique and dose, standardised crystalloid coloading and maintenance, standardised positioning and standardised oxytocic administration.
Hypotension was treated with IV ephedrine 6 mg, repeated every 3 min as needed.
Outcomes Maternal: BP, heart rate, SpO2 recorded every 3 min for 1 h. Total volume of IV fluid given, total ephedrine dose
Neonatal: Apgar scores
Notes Hypotension defined as a decrease in SBP > 20% baseline
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Sealed envelope
Blinding of participants and personnel (performance bias)
All outcomes Low risk Anaethetist caring for women during caesarean blinded. Possible that blinding may have been broken
Blinding of outcome assessment (detection bias)
All outcomes Low risk As above
Incomplete outcome data (attrition bias)
All outcomes Low risk Group 1 – 3 women excluded due to pregnancy‐induced hypertension
Group 2 – 5 women excluded due to pregnancy‐induced hypertension
Selective reporting (reporting bias) Low risk Not apparent
Other bias Low risk Not apparent