Oral Progestogen Supplementation in the Prevention of Recurrent Uterine Contraction in Preterm Labor
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the effect of oral progesterone supplementation in preterm labor on the prevention of recurrent uterine contraction and prolonging pregnancy period, and its side effect.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Dydrogesterone tocolytic + corticosteroids + Dydrogesterone 10 mg/tablet prepare in capsule, 1 cap oral every 12 hours, starting form enrollment until gestational age 37 weeks |
Drug: dydrogesterone
Other Names:
|
Placebo Comparator: Placebo tocolytic + corticosteroids + Placebo prepare in capsule, 1 cap oral every 12 hours, starting form enrollment until gestational age 37 weeks |
Drug: placebo
|
Outcome Measures
Primary Outcome Measures
- The recurrence of uterine contraction within 48 hours after stop tocolytic [48 hours]
Secondary Outcome Measures
- Time from preterm labor pain to delivery [9 weeks]
- Gestational age at delivery [9 weeks]
- Number of newborn with respiratory distress syndrome [9 weeks]
- side effects [9 weeks]
- Number of newborn with intraventricular hemorrhage [9 weeks]
- Number of newborn with necrotizing enterocolitis [9 weeks]
- Number of newborn with sepsis [9 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Singleton pregnancy
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Preterm labor
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GA24-34wk
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Intact membranes
Exclusion Criteria:
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Maternal/fetal condition requiring immediate delivery ex. Chorioamnionitis, fetal distress
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Placenta previa
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medical and obstetric complications
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allergy to dydrogesterone
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Faculty of Medicine, Chulalongkorn University | Bangkok | Thailand | 10330 |
Sponsors and Collaborators
- Chulalongkorn University
Investigators
- Study Director: Vorapong Phupong, M.D., Chulalongkorn University
Study Documents (Full-Text)
None provided.More Information
Publications
- American College of Obstetricians and Gynecologists; Committee on Practice Bulletins-Obstetrics. ACOG practice bulletin no. 127: Management of preterm labor. Obstet Gynecol. 2012 Jun;119(6):1308-17. doi: 10.1097/AOG.0b013e31825af2f0.
- Carp H. A systematic review of dydrogesterone for the treatment of threatened miscarriage. Gynecol Endocrinol. 2012 Dec;28(12):983-90. doi: 10.3109/09513590.2012.702875. Epub 2012 Jul 16. Review.
- Committee on Practice Bulletins-Obstetrics, The American College of Obstetricians and Gynecologists. Practice bulletin no. 130: prediction and prevention of preterm birth. Obstet Gynecol. 2012 Oct;120(4):964-73.
- Di Renzo GC, Giardina I, Clerici G, Mattei A, Alajmi AH, Gerli S. The role of progesterone in maternal and fetal medicine. Gynecol Endocrinol. 2012 Nov;28(11):925-32. doi: 10.3109/09513590.2012.730576. Review.
- Norwitz ER, Caughey AB. Progesterone supplementation and the prevention of preterm birth. Rev Obstet Gynecol. 2011 Summer;4(2):60-72.
- Omar MH, Mashita MK, Lim PS, Jamil MA. Dydrogesterone in threatened abortion: pregnancy outcome. J Steroid Biochem Mol Biol. 2005 Dec;97(5):421-5. Epub 2005 Nov 15.
- Preterm birth. In: Cunningham FG, Leveno KJ, Bloom SL, Hault JC, Rouse DJ, Spong CY, editors. Williams Obstetrics. 23rd ed. McGraw-Hill; 2010. p. 804-831.
- Queisser-Luft A. Dydrogesterone use during pregnancy: overview of birth defects reported since 1977. Early Hum Dev. 2009 Jun;85(6):375-7. doi: 10.1016/j.earlhumdev.2008.12.016. Epub 2009 Feb 3. Review.
- RA57/104