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. 2020 Oct 20;2020(10):CD004908. doi: 10.1002/14651858.CD004908.pub3

Comparison 3. Opioid versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
3.1 Adequate pain relief as reported by the woman 5 299 Risk Ratio (M‐H, Fixed, 95% CI) 1.26 [0.99, 1.61]
3.1.1 Codeine 60 mg versus placebo 5 252 Risk Ratio (M‐H, Fixed, 95% CI) 1.33 [1.01, 1.76]
3.1.2 Codeine 120 mg versus placebo 1 47 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.65, 1.64]
3.2 Need for additional pain relief 3 273 Risk Ratio (M‐H, Fixed, 95% CI) 0.48 [0.28, 0.82]
3.2.1 Codeine 60 mg versus placebo 3 173 Risk Ratio (M‐H, Fixed, 95% CI) 0.49 [0.24, 1.02]
3.2.2 Codeine 120 mg versus placebo 1 47 Risk Ratio (M‐H, Fixed, 95% CI) 0.17 [0.02, 1.52]
3.2.3 Nalbuphine versus placebo 1 53 Risk Ratio (M‐H, Fixed, 95% CI) 0.59 [0.25, 1.36]
3.3 Maternal adverse events 3 188 Risk Ratio (M‐H, Fixed, 95% CI) 1.59 [0.99, 2.55]
3.3.1 Codeine 60 mg versus placebo 3 141 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.54, 1.67]
3.3.2 Codeine 120 mg versus placebo 1 47 Risk Ratio (M‐H, Fixed, 95% CI) 4.65 [1.66, 13.00]