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. 2021 Apr 19;2021(4):CD013792. doi: 10.1002/14651858.CD013792.pub2

Comparison 1. Threatened miscarriage: Vaginal micronized progesterone versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Live birth 2 4090 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [1.00, 1.07]
1.2 Miscarriage (defined as delivery before 24 weeks of gestation) 2 4090 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.80, 1.01]
1.3 Preterm birth (defined as birth before 37 weeks of gestation) 2 3154 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.92, 1.27]
1.4 Stillbirth 1 4038 Risk Ratio (M‐H, Fixed, 95% CI) 0.83 [0.25, 2.71]
1.5 Ectopic pregnancy 1 4038 Risk Ratio (M‐H, Fixed, 95% CI) 0.20 [0.01, 4.14]
1.6 Congenital abnormalities 1 3085 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.68, 1.46]
1.7 Adverse drug events 1 4038 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.81, 1.39]
1.8 Live birth (subgrouped by no previous miscarriages and one or more previous miscarriages) 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.8.1 No previous miscarriages and early pregnancy bleeding 2 2261 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.95, 1.04]
1.8.2 One or more previous miscarriages and early pregnancy bleeding 2 1829 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [1.02, 1.14]
1.9 Live birth (subgrouped by maternal age) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.9.1 Maternal age < 35 years 1 3113 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.99, 1.07]
1.9.2 Maternal age ≥ 35 years 1 925 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.95, 1.13]