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5 papers reviewed

RPL - Additional Causes & Treatments

2025 · review · 1 of 5

Antiphospholipid syndrome in pregnancy: a comprehensive literature review

Various · BMC Pregnancy and Childbirth

APS is the most important treatable cause of recurrent miscarriage. Present in 15% of women with RPL. With correct diagnosis and treatment, 80-90% chance of successful pregnancy. Aspirin + heparin is standard treatment.

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2019 · systematic review / meta-analysis · 2 of 5

Pregnancy outcomes in patients with primary antiphospholipid syndrome: a systematic review and meta-analysis

Various · Autoimmunity Reviews

Despite treatment, lupus anticoagulant positive patients have 30% adverse outcome risk. However, standardized treatment protocols significantly improve live birth rates across multiple studies.

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2025 · review · 3 of 5

Immunological factors in recurrent pregnancy loss: mechanisms, controversies, and emerging therapies

Various · Biology (MDPI)

Comprehensive review of immune dysregulation in RPL: altered maternal-fetal tolerance, increased NK cell cytotoxicity, Th1/Th2 imbalance. Emerging therapies include HCQ, intralipids, and targeted immunomodulation.

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2022 · RCT (phase 3) · 4 of 5

Intravenous immunoglobulin treatment in women with four or more recurrent pregnancy losses: a double-blind, randomized, placebo-controlled, phase 3 trial

Various · eClinicalMedicine (Lancet)

Phase 3 double-blind RCT of IVIG for women with 4+ pregnancy losses. Provides highest-quality evidence on IVIG for immune-mediated RPL.

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2025 · cohort (propensity-matched) · 5 of 5

Early intravenous immunoglobulin use improves live birth outcomes in women with recurrent pregnancy loss: a propensity score-matched cohort study

Various · Reproductive Sciences

Early IVIG use improved live birth outcomes in RPL. Timing of immunotherapy initiation matters: earlier intervention may be more effective than delayed treatment.

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A paper's presence documents the evidence reviewed; it does not mean Filia endorses every intervention or conclusion.