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. 2019 Aug 12;79(8):844–853. doi: 10.1055/a-0854-6472

Table 3  Randomised, placebo-controlled studies: Progesterone for the prevention of preterm birth in asymptomatic women with singleton pregnancies and a short cervix.

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