Table 1

GRADE summary of findings table for the critical outcomes

Quality assessmentPatients (n)EffectQuality
Studies (n)DesignRisk of biasInconsistencyIndirectnessImprecisionOther considerationsSimultaneousDelayedRelative risk (RR
(95% CI))
Absolute
Ongoing pregnancy
3RCTsSerious*No serious inconsistencyNo serious indirectnessVery serious†None4/694
(0.58%)
2/686
(0.29%)
1.78 (0.38 to 8.36)2 more per 1000 (from 2 fewer to 21 more)Very low
Haemorrhage requiring transfusion or 500 mL blood loss or above
3RCTsSerious*‡No serious inconsistencyNo serious indirectnessVery serious§None0/694
(0%)
4/686
(0.58%)
0.11 (0.01 to 2.03)5 fewer per 1000 (from 6 fewer to 6 more)Very low
Patient satisfaction (“Would choose same method again”)
1RCTsSerious¶No serious inconsistencyNo serious indirectnessNo serious imprecisionNone480/545
(88.1%)
477/536
(89%)
0.99 (0.95 to 1.03)
9 fewer per 1000 (from 44 fewer to 27 more)Moderate
Patient satisfaction (“Would recommend to friend”)
1RCTsSerious¶No serious inconsistencyNo serious indirectnessNo serious imprecisionNone512/545
(93.9%)
504/536
(94%)
1.00 (0.97 to 1.03)
0 fewer per 1000 (from 28 fewer to 28 more)Moderate
Patient satisfaction (“Satisfied with procedure and would like to use this method again”)
1RCTsSerious¶**No serious inconsistencyNo serious indirectnessNo serious imprecisionNone39/40
(97.5%)
38/40
(95%)
1.03 (0.94 to 1.12)28 more per 1000 (from 57 fewer to 114 more)Moderate
  • *Unclear randomisation sequence generation and/or allocation concealment adequacy in two of the three studies.

  • †The CI crosses 0.8 and 1.25.

  • ‡All three studies were unblinded.

  • §The event rate <150.

  • ¶Unblinded study.

  • **Unclear adequacy of allocation concealment.

  • RCT, randomised controlled trial.