Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
August 2, 2013Human Reproduction Update

Adjunct low-molecular-weight heparin to improve live birth rate after recurrent implantation failure: a systematic review and meta-analysis

View Full Paper
Ask AI
Bookmark
Share

Key result

Adjunct low-molecular-weight heparin significantly improved the live birth rate in women with ≥3 recurrent implantation failures compared with control (RR 1.79; 95% CI 1.10-2.90; P=0.02).

Why the study?

Does adjunct low-molecular-weight heparin improve live birth rates in women with recurrent implantation failure undergoing IVF?

Population

Women with recurrent implantation failure undergoing IVF.

Comparison

Low-molecular-weight heparin adjunct therapy vs Control or placebo

Design

Meta-analysis

Authors

NPNeelam PotdarUniversity Hospitals of Leicester NHS TrustTGTarek A. GelbayaNational Health ServiceJKJustin C. KonjeQatar Airways (Qatar)

Discussion

Loading...

Member takes

Overview

LMWH may raise LBR in ≥3 RIF; leaves open confirmation in larger RCTs before routine use.

Study Design

Type

Meta-Analysis (n=245)

Structured PICO

Does adjunct low-molecular-weight heparin improve live birth rates in women with recurrent implantation failure undergoing IVF?

P
Population
245 women with ≥3 recurrent implantation failures undergoing IVF.
I
Intervention
Low-molecular-weight heparin (LMWH) adjunct therapy
C
Comparator
Control or placebo
O
Outcome
Live birth rate (LBR) per womanhard clinical

Main Result

Relative Risk: 1.79 (95% CI 1.1–2.9)

Number Needed to Treat: 8

p-value: p=0.02

Adjunct LMWH may improve live birth rates in women with ≥3 recurrent implantation failures undergoing IVF, though evidence is limited by small sample sizes.

Limitations

  • The overall number of participants in the included studies was small.
  • The beneficial effect of LMWH was not significant when only studies with unexplained RIF were pooled.
  • Small overall number of participants in the included studies

Cite This Study

Potdar et al. (2013) conducted a meta-analysis in Recurrent implantation failure (RIF) (n=245). Low-molecular-weight heparin (LMWH) vs. Control/placebo was evaluated on Live birth rate per woman (RR 1.79, 95% CI 1.10-2.90, p=0.02). Adjunct low-molecular-weight heparin significantly improved the live birth rate in women with ≥3 recurrent implantation failures compared with control (RR 1.79; 95% CI 1.10-2.90; P=0.02).

synapsesocial.com/papers/6ab5daeb012ed8abd7b49632https://doi.org/10.1093/humupd/dmt032
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1SPIN (Scottish Pregnancy Intervention) study: a multicenter, randomized controlled trial of low-molecular-weight heparin and low-dose aspirin in women with recurrent miscarriage2010 · 257 citations
  2. 2Association of MTHFR A1298C polymorphism (but not of MTHFR C677T) with elevated homocysteine levels and placental vasculopathies2011 · 66 citations
  3. 3Endometrial gene expression analysis at the time of embryo implantation in women with unexplained infertility2009 · 179 citations
  4. 4Investigation of the effects of heparin and low molecular weight heparin on E-cadherin and laminin expression in rat pregnancy by immunohistochemistry2006 · 40 citations
  5. 5Acquired and inherited thrombophilia: implication in recurrent IVF and embryo transfer failure2006 · 185 citations