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. 2019 Nov 20;2019(11):CD003511. doi: 10.1002/14651858.CD003511.pub5

MacDonald 1972.

Methods Unit of randomization: pregnancy
 Method of randomization: unclear
 Timing of randomization: after they were found to have evidence of hormonal imbalance on cervical mucus smears
 Power calculation: no
 Blinding: yes (double)
 Number of centers: 1 specialized antenatal center
40 women randomized, 0 women excluded, 40 women analyzed
Source of funding: grant from N.V. Philips‐Duphar
Participants Women with ≥ 2 consecutive proven abortions and then subsequent pregnancy with cervical mucus ferning present
Interventions 2 x 5 mg tablets of dydrogesterone tablets 3 times daily, increased to 4 tablets 3 times daily if ferning persisted, no duration specified
Control: placebo
Outcomes Miscarriage
Notes Dates of study: not stated
Funding sources: grant from N.V. Philips‐Duphar
Declarations of interest: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Stated double‐blind
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Not stated but unlikely that knowledge of assignment would influence outcomes
Incomplete outcome data (attrition bias) 
 All outcomes Low risk None
Selective reporting (reporting bias) Low risk None
Other bias Low risk None