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. 2013 Jul 1;2013(7):CD006431. doi: 10.1002/14651858.CD006431.pub3

Abdel‐Aleem 2010 Egypt.

Methods Randomised by means of computer‐generated random numbers held within sealed, opaque, sequentially numbered envelopes.
Participants Women 18 years or older with uncomplicated pregnancy and spontaneous birth.
Interventions Uterine massage from birth of the baby for 30 minutes, versus uterine massage plus oxytocin 10 units IM, vs oxytocin alone. For this review, the latter 2 groups are included.
Outcomes Primary
  • Blood loss 300 mL in 30 minutes; retained placenta 30 minutes.


Secondary
  • Blood loss 500 mL and < 1000 mL in 30 minutes.

  • Additional uterotonic.

  • Other interventions for haemorrhage.

  • Hb < 8 g/dL after 12‐24 hours (SA site).

  • Blood transfusion.

  • Manual removal placenta.

Notes Assiut, Egypt and East London Hospital Complex, South Africa. The data were presented separately for the 2 sites because of some heterogeneity.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated random numbers.
Allocation concealment (selection bias) Low risk Sealed opaque, sequentially‐numbered envelopes containing allocation.  
Blinding (performance bias and detection bias) 
 All outcomes High risk Blinding not possible.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Small proportion of missing data SA site only.
Selective reporting (reporting bias) Low risk Nothing to suggest reporting bias.
Other bias Low risk Nothing to suggest other bias.