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Table 5 Estimated relative risks of sPPH and PPH for four trials, with two-sided 95% confidence intervals (CI), by the binomial and by the lognormal approaches: Misoprostol trial [17], Active Management trial [19], CHAMPION trial [18] and Althabe et al. trial [20]

From: Distribution of postpartum blood loss: modeling, estimation and application to clinical trials

Event Approach

Trial

RR

95% CI

Width of the 95% CI

Width ratio lognormal vs binomial (%)

Lower limit

Upper limit

sPPH

 Binomial

Misoprostol

1.39

1.19

1.63

0.44

Active Management

1.09

0.91

1.31

0.40

CHAMPION

1.04

0.87

1.25

0.38

Althabe et al

1.76

0.40

7.56

7.16

 Lognormal

Misoprostol

1.69

1.48

1.92

0.44

100.0

Active Management

1.05

0.91

1.20

0.29

72.5

CHAMPION

1.00

0.89

1.13

0.24

63.2

Althabe et al

1.16

0.38

4.44

4.06

56.7

PPH

 Binomial

Misoprostol

1.44

1.35

1.54

0.19

Active Management

1.07

1.00

1.14

0.14

CHAMPION

0.99

0.92

1.06

0.14

Althabe et al

1.33

0.76

2.35

1.59

 Lognormal

Misoprostol

1.37

1.29

1.45

0.16

84.2

Active Management

1.08

1.02

1.14

0.12

85.7

CHAMPION

1.01

0.95

1.06

0.11

78.6

Althabe et al

1.26

0.81

1.95

1.14

71.7