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

MacDonald 1972.

Study characteristics
Methods 2‐arm placebo‐controlled randomised trial.
Participants 40 women were randomised in a hospital setting in the UK (date range not specified). The population comprised women with a history of 2 or more consecutive previous miscarriages 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 versus placebo.
Outcomes The study recorded the following outcomes relevant for this review: live birth and miscarriage (< 24 weeks).
Notes Contact with study authors for additional information: no. Additional data from authors: no. Source(s) of funding were not reported, declarations of interest were not reported.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Sequence generation was not reported.
Allocation concealment (selection bias) Unclear risk Allocation concealment was not reported.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Study participants and caregivers were blinded to treatment allocations.
Blinding of outcome assessment (detection bias)
All outcomes Low risk Assessors were blinded to treatment allocations.
Incomplete outcome data (attrition bias)
All outcomes Low risk Data were collected completely from all randomised study participants.
Selective reporting (reporting bias) Unclear risk The protocol of the study was unavailable for verification. However, this study was conducted before protocol registration became mandatory.
Other bias Unclear risk Source(s) of funding were not reported.