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. 2012 Dec 12;2012(12):CD001894. doi: 10.1002/14651858.CD001894.pub5

Summary of findings 4. Miscarriage.

Miscarriage
Patient or population: Women undergoing assisted reproduction 
 Intervention: Assisted hatching compared with no assisted hatching
Outcomes Illustrative comparative risks* (95% CI) Relative effect 
 (95% CI) No of Participants 
 (studies) Quality of the evidence 
 (GRADE) Comments
Assumed risk Corresponding risk
Control Miscarriage
Miscarriage per woman randomised 45 per 1000 46 per 1000 
 (32 to 68) OR 1.03 
 (0.69 to 1.54) 2131 
 (14 studies) ⊕⊕⊕⊝ 
 moderate1  
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). 
 CI: Confidence interval; OR: Odds ratio;
GRADE Working Group grades of evidence 
 High quality: Further research is very unlikely to change our confidence in the estimate of effect. 
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. 
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. 
 Very low quality: We are very uncertain about the estimate.

1 There were methodological limitations or missing information in most of the trials