Author | Year | Number of patients Screening | Number of patients (progesterone vs. control) | Inclusion criteria | Progesterone type | Dose and interval | Period of use (WG) | Primary outcome | Reduction in preterm birth |
---|---|---|---|---|---|---|---|---|---|
WG: weeks of gestation; PB: preterm birth, 17-OHPC: 17α-hydroxyprogesterone caproate a history of PB (55% in active treatment vs. 57% in placebo group), previous surgery on the cervix (4 vs. 8%), uterine anomalies (20 vs. 19%) or prenatal exposure to diethylstilbestrol (8 vs. 11%) | |||||||||
A) 17-OHPC | |||||||||
Winer et al. 68 | 2015 | – | 51 vs. 54 | High PB risk a , cervical length < 25 mm at 20 – 31 WG | 17α-OHPC i. m. | 500 mg/week | 20 – 31 to 36 | Interval (days) until birth: 76 ± 5 days vs. 72 ± 5 days (p = 0.480) | No |
B) Vaginal progesterone | |||||||||
Fonseca et al. 31 | 2007 | 24 620 | 125 vs. 125 | Cervical length < 15 mm (n = 24 twin pregnancies) at 20 – 25 WG | Vaginal pessaries | 200 mg/day | 24 to 34 | PB < 34 WG: 19.2 vs. 34.4% (p = 0.020) | Yes |
Hassan et al. 34 | 2011 | 32 091 | 235 vs. 223 | Cervical length 10 – 20 mm at 20 – 24 WG | Vaginal gel | 90 mg/day | 20 – 24 to 36 | PB < 32 WG: 8.9 vs. 16.1% (p = 0.020) | Yes |