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. 2005 Apr 20;2005(2):CD002859. doi: 10.1002/14651858.CD002859.pub2

Comparison 7. IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin or prednisone and aspirin.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Pregnancy loss 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 2 56 Risk Ratio (M‐H, Random, 95% CI) 2.71 [0.86, 8.57]
1.2 IVIG versus prednisone and aspirin 1 82 Risk Ratio (M‐H, Random, 95% CI) 0.94 [0.42, 2.12]
2 Premature delivery 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
2.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 2 56 Risk Ratio (M‐H, Random, 95% CI) 1.46 [0.19, 11.17]
2.2 IVIG versus prednisone and aspirin 1 82 Risk Ratio (M‐H, Random, 95% CI) 0.55 [0.08, 3.68]
3 Adverse pregnancy outcome (pregnancy loss or preterm labour) 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
3.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 2 56 Risk Ratio (M‐H, Random, 95% CI) 2.38 [1.24, 4.58]
3.2 IVIG versus prednisone and aspirin 1 82 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.42, 1.72]
4 IUGR with interventions 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
4.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 1 16 Risk Ratio (M‐H, Random, 95% CI) 0.43 [0.06, 3.28]
4.2 IVIG versus prednisone and aspirin 1 82 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
5 Adverse pregnancy outcome (pregnancy loss or IUGR) 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
5.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 1 16 Risk Ratio (M‐H, Random, 95% CI) 0.43 [0.06, 3.28]
5.2 IVIG versus prednisone and aspirin 1 82 Risk Ratio (M‐H, Random, 95% CI) 0.94 [0.42, 2.12]
6 Neonatal intensive care admission 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
6.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 2 56 Risk Ratio (M‐H, Random, 95% CI) 0.65 [0.09, 4.69]
6.2 IVIG versus prednisone and aspirin 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
7 Caesarean section 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
7.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 1 40 Risk Ratio (M‐H, Random, 95% CI) 2.73 [0.12, 63.19]
7.2 IVIG versus prednisone and aspirin 0 0 Risk Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
8 Weighted mean difference for birthweight 3   Mean Difference (IV, Random, 95% CI) Subtotals only
8.1 IVIG (+/‐ heparin and aspirin) versus heparin (unfractionated or LMW) and aspirin 2 56 Mean Difference (IV, Random, 95% CI) ‐56.34 [‐195.01, 82.33]
8.2 IVIG versus prednisone and aspirin 1 82 Mean Difference (IV, Random, 95% CI) 351.0 [114.07, 587.93]