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

Ueyama 1999.

Study characteristics
Methods RCT
Participants 36 women
Inclusion criteria: healthy full‐term parturients scheduled for elective caesarean during spinal anaesthesia
Exclusion criteria: abruptio placenta, placenta praevia, multiple gestation, pre‐eclampsia, or women who were receiving ritodrine or other beta‐tocolytics
Interventions Colloid preload versus crystalloid preload
Group 1: 500 mL HES 6%
Group 2: 1000 mL HES 6%
Group 3: 1500 mL Ringer's lactate
All solutions were infused over 30 min before injection of spinal anaesthesia.
All women received a standardised spinal anaesthetic technique and dose.
Outcomes Maternal: hypotension; blood volume; cardiac output
Notes Hypotension defined as defined as decrease in SBP to less than 100 mmHg and less than 80% of baseline value
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation by random envelope method
Allocation concealment (selection bias) High risk No allocation concealment. Infusion bottle shape different between study groups
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Losses to follow‐up: not stated
Selective reporting (reporting bias) Unclear risk Not apparent, but not well reported
Other bias Unclear risk Not apparent, but not well reported