Bulletin of the World Health Organization

Misoprostol to prevent and treat postpartum haemorrhage: a systematic review and meta-analysis of maternal deaths and dose-related effects

G Justus Hofmeyr, A Metin Gülmezoglu, Natalia Novikova, Verena Linder, Sandra Ferreira & Gilda Piaggio

Volume 87, Number 9, September 2009, 666-677

Table 3. Meta-analysis of direct comparisons and adjusted indirect comparisons of misoprostol, another uterotonic or placebo for risk of PPH

PPH ( 1000 ml of blood) RR 95% CI
Direct comparison, M, 600 µg vs 400 µg 0.841 0.501–1.411
Indirect adjusted comparison, M, 600 µg or 400 µg, vs P 1.420 0.790–2.555
Indirect adjusted comparison, M, 600 µg or 400 µg, vs U 0.931 0.599–1.446
All 1.023 0.707–1.481

CI, confidence interval; M, misoprostol; P, placebo; PPH, postpartum haemorrhage; RR, relative risk; U, uterotonic besides misoprostol.