Status:

TERMINATED

Vaginal Progesterone for the Prevention of Preterm Birth in Women With Arrested Preterm Labor

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

Thrasher Research Fund

Conditions:

Premature Birth

Obstetric Labor, Premature

Eligibility:

FEMALE

18-50 years

Phase:

NA

Brief Summary

Preterm birth, defined as birth before 37 weeks' gestation, is a leading cause of infant death and disease. Progesterone is the single most effective intervention in the prevention of preterm birth. H...

Detailed Description

RESEARCH DESIGN AND METHODS The investigators will perform a randomized, blinded, placebo-controlled trial to evaluate the use of vaginal progesterone in women with arrested preterm labor after 24 we...

Eligibility Criteria

Inclusion

  • Singleton or twin gestation
  • Estimated gestational age between 24 0/7 and 33 6/7 weeks' gestation
  • Initially present with regular contractions and clinical diagnosis of preterm labor but remain undelivered with 1) no further cervical change 12 hours after discontinuation of acute tocolytic therapy; or 2) be considered eligible for discharge based on attending physician judgment prior to the 12 hour period of time
  • The participant's cervix must be at least 1 cm at the time of enrollment

Exclusion

  • Non-English speaking
  • Rupture of membranes
  • Chorioamnionitis
  • Non-reassuring fetal status
  • Maternal indication for delivery
  • Placental abruption
  • Intrauterine fetal demise
  • Prenatally diagnosed major fetal anomaly
  • Cervical cerclage in place
  • Previous administration of progesterone during the current pregnancy for a history of preterm birth or short cervix
  • Participant is either unwilling or unable to attend follow-up study visits following hospital discharge

Key Trial Info

Start Date :

May 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 7 2018

Estimated Enrollment :

38 Patients enrolled

Trial Details

Trial ID

NCT01840228

Start Date

May 1 2013

End Date

May 7 2018

Last Update

June 18 2019

Active Locations (1)

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1

Washington University School of Medicine/ Barnes-Jewish Hospital

St Louis, Missouri, United States, 63110