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. 2018 Feb 28;2018(2):CD011809. doi: 10.1002/14651858.CD011809.pub2

Aflatoonian 2009.

Methods Parallel group study
Number of women randomised: 390 (195 in the intervention group; 195 in the control group)
Number of women analysed: 385
Participants Country of authors: Iran
Inclusion criteria: couples undergoing assisted reproduction with at least 5 years of subfertility
Exclusion criteria: none reported
Mean age ± SD: intervention group: 29.4 ± 4.4 years; control group: 29.6 ± 4.9 years
Mean duration of infertility ± SD: intervention group: 8.7 ± 3.8 years; control group: 9.0 ± 3.9 years
Women with primary infertility: not reported
Setting: assisted reproduction programme in Iran
Interventions Intervention: vaginal intercourse at least once during the 12 hours following embryo transfer
Control: abstinence during the entire ART cycle
Outcomes Clinical pregnancy defined as the presence of a gestational sac or fetal cardiac activity three weeks after embryo transfer
Notes Pregnancy outcome was unknown for five women in the intervention arm. The corresponding author was contacted but was not able to provide missing data either for the five women with unknown primary outcome or other unreported outcome measures.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Equal number of paper slips for each method put in a bag
Allocation concealment (selection bias) Low risk Drawing paper slips from the bag on the day of embryo transfer
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Couples in the control group could have had intercourse without informing the investigators and contaminated the results
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Objectively assessed outcome measure
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Pregnancy outcome missing for 5 women in the intervention group
Selective reporting (reporting bias) Low risk Clinical pregnancy rate was reported
Other bias Low risk No other cause of potential bias identified