Title |
Progesterone in women with arrested premature labor, a report of a randomised clinical trial and updated meta-analysis
|
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Published in |
BMC Pregnancy and Childbirth, August 2017
|
DOI | 10.1186/s12884-017-1400-y |
Pubmed ID | |
Authors |
Stephen Wood, Yacov Rabi, Selphee Tang, Rollin Brant, Susan Ross |
Abstract |
Progesterone may be effective in prevention of premature birth in some high risk populations. Women with arrested premature labor are at risk of recurrent labor and maintenance therapy with standard tocolytics has not been successful. Randomized double blinded clinical trial of daily treatment with 200 mg vaginal progesterone in women with arrested premature labor and an updated meta-analysis. The clinical trial was terminated early after 41 women were enrolled. Vaginal progesterone treatment did not change the median gestational age at delivery: 36+2 weeks versus 36+4 weeks, p = .865 nor increase the mean latency to delivery: 44.5 days versus 46.6 days, p = .841. In the updated meta-analysis, progesterone treatment did reduce delivery <37 weeks gestation and increase latency to delivery, but this treatment effect was not evident in the high quality trials: (OR 1.23, 95% CI 0.91, 1.67) and (-0.95 days, 95% CI -5.54, 3.64) respectively. Progesterone is not effective for preventing preterm birth following arrested preterm labor. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Philippines | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 52 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 6 | 12% |
Student > Bachelor | 6 | 12% |
Researcher | 4 | 8% |
Student > Postgraduate | 3 | 6% |
Student > Master | 3 | 6% |
Other | 7 | 13% |
Unknown | 23 | 44% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 17 | 33% |
Nursing and Health Professions | 8 | 15% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Agricultural and Biological Sciences | 1 | 2% |
Veterinary Science and Veterinary Medicine | 1 | 2% |
Other | 2 | 4% |
Unknown | 21 | 40% |