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The short report by Ramtoola et al is interesting & in line with other
similar reports. Unfortunately, the results are not presented in a way
which allow the reader to decide whether the interpretation is correct.
The GIGT group consisted of only 98 women and nine women were lost to
follow up from the whole group. If a large proportion of these were from
the GIGT group, perhaps because they perceived their state to be
unimportant, then any adverse pregnancy outcome amongst them may have had
significant impact on the various quoted rates.