Table 9Clinical evidence profile. Comparison 5. Labetalol versus no intervention

Quality assessmentNumber of patientsEffectQualityImportance
Number of studiesDesignRisk of biasInconsistencyIndirectnessImprecisionOther considerationsLabetalolNo interventionRelative (95% CI)Absolute
Perinatal death
1 (Sibai 1990)randomised trialsvery serious1no serious inconsistencyno serious indirectnessvery serious2none

1/86

(1.2%)

1/90

(1.1%)

RR 1.05 (0.07 to 16.47)1 more per 1000 (from 10 fewer to 172 more)VERY LOWCRITICAL
Small-for-gestational age
1 (Sibai 1990)randomised trialsvery serious1no serious inconsistencyno serious indirectnessvery serious2none

7/86

(8.1%)

8/90

(8.9%)

RR 0.92 (0.35 to 2.42)7 fewer per 1000 (from 58 fewer to 126 more)VERY LOWCRITICAL
Preterm birth (<37 weeks)
1 (Sibai 1990)randomised trialsvery serious1no serious inconsistencyno serious indirectnessvery serious2none

10/86

(11.6%)

9/90

(10%)

RR 1.16 (0.50 to 2.72)16 more per 1000 (from 50 fewer to 172 more)VERY LOWIMPORTANT
Superimposed pre-eclampsia
1 (Sibai 1990)randomised trialsvery serious1no serious inconsistencyno serious indirectnessvery serious2none

14/86

(16.3%)

14/90

(15.6%)

RR 1.05 (0.53 to 2.06)8 more per 1000 (from 73 fewer to 165 more)VERY LOWIMPORTANT
Placental abruption
1 (Sibai 1990)randomised trialsvery serious1no serious inconsistencyno serious indirectnessvery serious2none

2/86

(2.3%)

2/90

(2.2%)

RR 1.05 (0.15 to 7.26)1 more per 1000 (from 19 fewer to 139 more)VERY LOWIMPORTANT
Mode of birth (caesarean section)
1 (Sibai 1990)randomised trialsvery serious1no serious inconsistencyno serious indirectnessvery serious2none

30/86

(34.9%)

29/90

(32.2%)

RR 1.08 (0.71 to 1.64)26 more per 1000 (from 93 fewer to 206 more)VERY LOWIMPORTANT
1

The quality of the evidence was downgraded by 2 levels due to an unclear risk of allocation concealment, performance and selection bias, and selective reporting

2

The quality of the evidence was downgraded by 2 levels as the 95% CI crossed 2 default MID thresholds (0.8 and 1.25)

From: Evidence review for interventions for chronic hypertension

Cover of Evidence review for interventions for chronic hypertension
Evidence review for interventions for chronic hypertension: Hypertension in pregnancy: diagnosis and management: Evidence review A.
NICE Guideline, No. 133.
National Guideline Alliance (UK).
Copyright © NICE 2019.

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