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. 1999 Oct 25;1999(4):CD001805. doi: 10.1002/14651858.CD001805

South Africa 1989.

Methods 'Randomly allocated', no further information.
Participants 10 women with severe pre‐eclampsia; BP > 160/110 mmHg and at least 1g/litre proteinuria. No pre‐existing hypertension, renal disease, heart disease or antihypertensives. Not in labour. All women had a Swan Ganz catheter inserted.
Interventions Expansion: 200 ml 3.5% haemaccel, then successive 200 ml over 30 minutes until pulmonary capillary wedge pressure increased by at least 16 mmHg. Then hydralazine 25 mg/200 ml infused to keep DBP 90‐110 mmHg. 
 Control: hydralazine as above, but without prior infusion.
Outcomes Women: caesarean section, mean gestation, change in pulmonary wedge pressure, cardiac index and systemic vascular resistance. 
 Baby: birthweight, Apgar at 1 and 5 minutes.
Notes Four women had magnesium sulphate before entry, the others started it after hydralazine.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear