Quality assessment | Number of patients (%) | Absolute effect (95% CI) | Relative effect (95% CI) | Quality | Importance | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. of studies | Study design | Risk of bias | Inconsistency | Indirectness | Imprecision | Publication bias | Progesterone agents | Control | Progesterone agents | Control | |||
Outcome: miscarriage | |||||||||||||
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Progesterone versus control | |||||||||||||
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7 | Randomized trials | Seriousa | Not serious | Not serious | Seriousb | None | 52/399 (13.0) | 82/378 (21.7) | 128 per 1000 | 217 per 1000 | OR 0.53 (0.36 to 0.78) | ⨁⨁◯◯ Low | Critical |
89 fewer per 1,000 (from 39 fewer to 126 fewer) | |||||||||||||
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Oral dydrogesterone versus control | |||||||||||||
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3 | Randomized trials | Seriousa | Not serious | Not serious | Seriousb | None | 30/256 (11.7) | 53/235 (22.6) | 112 per 1000 | 226 per 1000 | OR 0.43 (0.26 to 0.71) | ⨁⨁◯◯ Low | Critical |
114 fewer per 1,000 (from 54 fewer to 155 fewer) | |||||||||||||
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Vaginal progesterone versus control | |||||||||||||
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4 | Randomized trials | Not serious | Not serious | Not serious | Not serious | None | 22/143 (15.4) | 29/143 (20.3) | 155 per 1000 | 203 per 1000 | OR 0.72 (0.39 to 1.34) | ⨁⨁⨁⨁ High | Critical |
48 fewer per 1,000 (from 51 more to 113 fewer) |
CI: confidence interval; OR: odds ratio; aeither the participants or personnel were not blinded in these studies (performance bias); bthe 95% CI includes appreciable harm or benefit.