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In this clinical cohort study, the investigators are going to observe the efficacy of anti-coagulation and immune therapy in the treatment of recurrent pregnancy loss with a prospective randomized controlled trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| aspirin+LMWH group | Experimental | aspirin, 75-100mg/day, po,bid + low molecular weight heparin,4100U,hypodermic injection,qd |
|
| aspirin+LMWH+immunoglobulin group | Experimental | aspirin, 75-100mg/day, po,bid + low molecular weight heparin,4100IU/day,hypodermic injection,qd + immunoglobulin 300mg/kg(with 100ml normal saline),intravenous injection,once every two weeks |
|
| aspirin+LMWH+prednisone group | Experimental | aspirin, 75-100mg/day, po,bid + low molecular weight heparin,4100IU/day,hypodermic injection,qd + prednisone,5-10mg/day,po,qd |
|
| aspirin+LMWH+IVIG+prednisone group | Experimental | aspirin, 75-100mg/day, po,bid + low molecular weight heparin,4100IU/day,hypodermic injection,qd + immunoglobulin 300mg/kg(with 100ml normal saline),intravenous injection,once every two weeks + prednisone,5-10mg/day,po,qd |
|
| dydrogesterone group | Other |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aspirin | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| live birth | live birth means success pregnancy(more than gestational age of 20 weeks) | through study completion, an average of 3 year |
| Measure | Description | Time Frame |
|---|---|---|
| D-dimer | through study completion, an average of 3 year | |
| Uterine artery blood flow | through study completion, an average of 3 year | |
| human chorionic gonadotropin |
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Inclusion Criteria:
- Woman who had 2 miscarriage before 12(th) week of gestation.The patient who is diagnosed as thrombophilia with recurrent pregnancy loss. Signed consent form.
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai first Maternity and Infant health hospital, Tong Ji University | Recruiting | Shanghai | 200051 | China |
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| ID | Term |
|---|---|
| D001241 | Aspirin |
| D006493 | Heparin |
| D011241 | Prednisone |
| D007136 | Immunoglobulins |
| D004394 | Dydrogesterone |
| ID | Term |
|---|---|
| D012459 | Salicylates |
| D062385 | Hydroxybenzoates |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
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dydrogesterone 20-30mg/day, po, tid
|
| Heparin | Drug |
|
| Prednisone | Drug |
|
| Immunoglobulin | Drug |
|
| Dydrogesterone | Drug |
|
| through study completion, an average of 3 year |
| D006841 |
| Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |