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

Pattison 2000.

Methods Single centre, fully blinded, placebo controlled RCT.
Participants Inclusion criteria: 
 1) >/= 3 miscarriages. 
 2) +ve APL antibody either pre‐pregnancy or early in pregnancy determined by a IgG ACL > 5 GPL units or IgM ACL > 5 MPL units or presence of LA (APTT, dRVVT or KCT). 
 Exclusion criteria: 
 1) History of thrombosis. 
 2) SLE. 
 3) Current or planned corticosteroids, NSAIDs, heparin or marine lipids.
Interventions Aspirin 75 mg/day versus placebo.
Outcomes Live birth, antenatal outcomes and neonatal outcomes.
Notes 20% subjects excluded from each treatment arm on the basis of ineligibility.
Randomisation occured when pregnancy diagnosed if APL antibodies +ve before pregnancy or when detected during pregnancy. Aspirin/placebo commenced 50/44 days respectively after last menstrual period.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear