Hagemann 2010.
| Methods | Randomised, single centre, crossover trial | |
| Participants | 103 women in the United States under 38 years of age with any embryo with a zona pellucida thickness > 13μm and more than 2 previous failed IVF cycles Mean age: 32.1 years in the hatched group, 31.2 in the unhatched group | |
| Interventions | AH performed by acidic Tyrode's solution AH: 49 women Control: 54 women | |
| Outcomes | Clinical intrauterine pregnancy rate, implantation rate, spontaneous pregnancy loss and live birth rate | |
| Notes | Power calculation: study states it has inadequate power. The study as ultimately performed only had sufficient statistical power to identify a 30% absolute effect size with alpha = 0.05 and beta = 0.80 
ITT analysis unclear Published as full paper | |
| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement | 
| Random sequence generation (selection bias) | Low risk | Randomisation was performed by the IVF lab staff by drawing 1 of 200 opaque envelopes from a box | 
| Allocation concealment (selection bias) | Unclear risk | Opaque envelopes drawn, but not numbered | 
| Blinding (performance bias and detection bias) All outcomes | Low risk | The study arm to which participants belonged was blinded to care givers, with the exception of the IVF embryologyists, as well as to participants | 
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Unclear | 
| Selective reporting (reporting bias) | Low risk | Live birth reported (but results not included in this study as results were only given for both cycles combined and not for just the first cycle, which is the data we are using). No other evidence of reporting bias |