Table 2.
Gestational age at delivery and neonatal outcome in asymptomatic women with a singleton pregnancy and sonographic short cervix allocated to receive vaginal progesterone gel (n = 235) compared with those allocated to receive placebo (n = 223): intent to treat analysis set
Outcome | Vaginal progesterone (n (%)) | Placebo (n (%)) | Relative risk (95% CI) | P |
---|---|---|---|---|
Primary outcome | ||||
Preterm birth < 33 weeks | 21/235 (8.9) | 36/223 (16.1) | 0.55 (0.33–0.92) | 0.020 |
Secondary outcomes | ||||
Preterm birth < 28 weeks | 12/235 (5.1) | 23/223 (10.3) | 0.50 (0.25–0.97) | 0.036 |
Preterm birth < 35 weeks | 34/235 (14.5) | 52/223 (23.3) | 0.62 (0.42–0.92) | 0.016 |
Preterm birth < 37 weeks | 71/235 (30.2) | 76/223 (34.1) | 0.89 (0.68–1.16) | 0.376 |
Respiratory distress syndrome | 7/235 (3.0) | 17/223 (7.6) | 0.39 (0.17–0.92) | 0.026 |
Bronchopulmonary dysplasia | 4/235 (1.7) | 5/223 (2.2) | 0.76 (0.21–2.79) | 0.678 |
Proven sepsis | 7/235 (3.0) | 6/223 (2.7) | 1.11 (0.38–3.24) | 0.853 |
Necrotizing enterocolitis | 5/235 (2.1) | 4/223 (1.8) | 1.19 (0.32–4.36) | 0.797 |
Intraventricular hemorrhage, Grade III/IV | 0/235 (0.0) | 1/223 (0.5) | 0.32 (0.01–7.73)* | 0.305 |
Periventricular leukomalacia | 0/235 (0.0) | 0/223 (0.0) | Not estimable | NA |
Perinatal death | 8/235 (3.4) | 11/223 (4.9) | 0.69 (0.28–1.68) | 0.413 |
Fetal death | 5/235 (2.1) | 6/223 (2.7) | 0.79 (0.25–2.57) | 0.700 |
Neonatal death | 3/235 (1.3) | 5/223 (2.2) | 0.57 (0.14–2.35) | 0.431 |
Composite outcome scores | ||||
Any morbidity/mortality event | 18/235 (7.7) | 30/223 (13.5) | 0.57 (0.33–0.99) | 0.043 |
0–4 without NICU† | 0.048 | |||
0–4 with NICU† | 0.068 | |||
0–6 without NICU† | 0.048 | |||
Birth weight < 2500 g | 60/234 (25.6) | 68/220 (30.9) | 0.83 (0.62–1.11) | 0.213 |
Birth weight < 1500 g | 15/234 (6.4) | 30/220 (13.6) | 0.47 (0.26–0.85) | 0.010 |
Unadjusted relative risk (RR) and 95% CI calculated using the Cochran–Mantel–Haenszel (CMH) test.
Based on Logit estimator with continuity correction.
Frequency of perinatal mortality/neonatal morbidity composite scores are provided in Appendix S4 online. NA, not applicable; NICU, neonatal intensive care unit.