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

Goldzieher 1964.

Methods Unit of randomization: pregnancy
 Method of randomization: sequentially numbered bottles. It is not clear who was responsible for the coding.
 Timing of randomization: unclear
 Blinding: yes (double)
 Power calculation: no
 Number of centers: 2 main centers
54 women randomized, 0 women excluded, 54 women analyzed
Source of funding: Upjohn
Participants Women who had either:
  • never had a term pregnancy and who had had ≥ 2 miscarriages; or

  • who had had ≥ 1 term pregnancy followed by a minimum number of 2 consecutive miscarriages.


All women had to have a urinary pregnanediol of < 5 mg/d before 8 weeks' gestation and/or < 7 mg/d by 14 weeks' gestation.
 Age: not stated
Location: USA
Interventions 10 mg/d of oral medroxyprogesterone
Control: placebo
Duration: not stated
Outcomes Miscarriage
 Preterm delivery
Notes Dates of study: not stated
Funding sources: supported by a grant from the Upjohn Company, Kalamazoo, Michigan
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) Low risk Sequentially numbered bottles. Code not broken until end of trial
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk 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 Does not appear to be incomplete outcome data
Selective reporting (reporting bias) Low risk None
Other bias Low risk None apparent