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. 2019 Nov 20;2019(11):CD012024. doi: 10.1002/14651858.CD012024.pub3

Comparison 2. Vaginal progesterone versus no treatment or placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
2.1 Preterm birth less than 34 weeks 5 1503 Risk Ratio (M‐H, Random, 95% CI) 0.90 [0.66, 1.23]
2.2 Preterm birth less than 34 weeks subgroup by dose 5 1503 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.69, 1.21]
2.2.1 Low dose (200 mg or less daily) 4 1267 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.63, 1.37]
2.2.2 High dose (more than 200 mg daily) 2 236 Risk Ratio (M‐H, Random, 95% CI) 0.74 [0.40, 1.39]
2.3 Preterm birth less than 34 weeks subgroup by timing 5 1503 Risk Ratio (M‐H, Random, 95% CI) 0.90 [0.66, 1.23]
2.3.1 Starting before 20 weeks' gestation 1 91 Risk Ratio (M‐H, Random, 95% CI) 0.69 [0.30, 1.58]
2.3.2 Starting after 20 weeks' gestation 3 1032 Risk Ratio (M‐H, Random, 95% CI) 0.80 [0.60, 1.07]
2.3.3 Mixed timing of start 1 380 Risk Ratio (M‐H, Random, 95% CI) 1.35 [0.90, 2.02]
2.4 Perinatal death 3 2287 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.74, 2.06]
2.5 Perinatal death subgroup by dose 3 2287 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.74, 2.06]
2.5.1 Low dose (200 mg or less daily) 3 2287 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.74, 2.06]
2.6 Perinatal death subgroup by timing 3 2287 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.74, 2.06]
2.6.1 Starting before 20 weeks' gestation 1 171 Risk Ratio (M‐H, Fixed, 95% CI) 1.98 [0.18, 21.39]
2.6.2 Starting after 20 weeks' gestation 1 1346 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.51, 2.42]
2.6.3 Mixed timing of start 1 770 Risk Ratio (M‐H, Fixed, 95% CI) 1.29 [0.63, 2.61]
2.7 Prelabour rupture of the membranes 1 290 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.20, 3.38]
2.8 Preterm birth less than 37 weeks 6 1597 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.89, 1.06]
2.9 Preterm birth less than 28 weeks 3 1345 Risk Ratio (M‐H, Fixed, 95% CI) 1.53 [0.79, 2.97]
2.10 Adverse drug reaction 2 562 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.90, 1.09]
2.11 Caesarean section 5 1919 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.86, 0.98]
2.12 Satisfaction with therapy 1 494 Mean Difference (IV, Fixed, 95% CI) 0.00 [‐0.35, 0.35]
2.13 Antenatal tocolysis 4 1420 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.62, 1.02]
2.14 Antenatal corticosteroids 4 1422 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.71, 1.06]
2.15 Infant birthweight less than 2500 g 3 2640 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.84, 1.07]
2.16 Apgar score < 7 at 5 minutes 3 2410 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.35, 1.19]
2.17 Respiratory distress syndrome 3 2121 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.78, 1.22]
2.18 Use of mechanical ventilation 4 2695 Risk Ratio (M‐H, Fixed, 95% CI) 0.70 [0.52, 0.94]
2.19 Intraventricular haemorrhage ‐ all grades 1 1333 Risk Ratio (M‐H, Fixed, 95% CI) 1.70 [0.62, 4.66]
2.20 Retinopathy of prematurity 2 1945 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.45, 2.54]
2.21 Necrotising enterocolitis 3 2117 Risk Ratio (M‐H, Fixed, 95% CI) 0.52 [0.13, 2.06]
2.22 Neonatal sepsis 2 1944 Risk Ratio (M‐H, Fixed, 95% CI) 1.41 [0.86, 2.33]
2.23 Fetal death 3 2328 Risk Ratio (M‐H, Fixed, 95% CI) 1.38 [0.65, 2.90]
2.24 Neonatal death 3 2905 Risk Ratio (M‐H, Fixed, 95% CI) 1.53 [0.75, 3.15]
2.25 Admission to NICU 4 3613 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.83, 1.08]
2.26 Patent ductus arteriosus 2 1946 Risk Ratio (M‐H, Fixed, 95% CI) 0.76 [0.47, 1.22]
2.27 Sensitivity analysis for perinatal death (assuming total non‐independence) 3 1144 Risk Ratio (M‐H, Fixed, 95% CI) 1.22 [0.61, 2.44]
2.28 Sensitivity analysis for perinatal death (assuming 1% non‐independence) 3 2263 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.74, 2.06]