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. 2004 Apr 19;2004(2):CD003765. doi: 10.1002/14651858.CD003765.pub2

Mahajan 1992.

Methods Treatment allocation: 
 Women were allocated to receive general, epidural or spinal anaesthesia according to a random chart.
Allocation concealment: 
 No details given.
Documentation of exclusions: 
 No exclusions.
Blinding of outcome assessment: 
 Not mentioned.
Losses to follow up: 
 None.
Participants Inclusion criteria: 
 99 healthy parturients (ASA 1) presenting for elective caesarean section. 
 Exclusion criteria: 
 None mentioned.
Number lost to follow up: 
 None.
Interventions Spinal anaesthesia: 
 22‐24 gauge needle inserted in the lateral position at L2‐3 or L3‐4. 1.2‐1.5 ml of 1% bupivacaine injected slowly.
Epidural anaesthesia: 
 Tuohy needle, lateral position, L2‐3 or L3‐4, loss of resistance to air, 12‐20 ml 0.5% bupivacaine injected slowly. Women were then placed supine with a wedge under the right hip.
Women in the epidural and spinal groups were infused with 750‐1000 ml of balanced salt solution within 5‐10 minutes after injection of local anaesthetic.
Outcomes Number of women requiring treatment for hypotension was recorded. Ephedrine was given if systolic blood pressure decreased > 25% from pre‐anaesthetic values.
Neonates were assessed but no interventions were mentioned.
Notes India.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear