Prophylactic progestin cuts odds of recurrent preterm birth

Prophylactic progestin cuts odds of recurrent preterm birth

(HealthDay)—Progestin prophylaxis and accelerated access to the first clinic visit decrease the odds of spontaneous preterm birth among women with a history of preterm birth, according to a study published online Dec. 6 in Obstetrics & Gynecology.

Kara B. Markham, M.D., from The Ohio State University in Columbus, and colleagues conducted a retrospective cohort study to assess outcomes of 1,066 pregnant with one or more previous preterm births who received care in a prematurity clinic. Progestin prophylaxis was adopted in 2004, and accelerated access to the first clinic visit was adopted in 2008.

The researchers found that after adoption of an accelerated appointment process there was a significant decline in the gestational age at initiation of prenatal care (median, 19.1 weeks before 2003; 16.2 weeks from 2004 to 2007; and 15.2 weeks from 2008 to 2012; P < 0.01). Adoption of an accelerated appointment also correlated with a significant increase in progestin use (from 50.8 percent in 2004 to 2007 to 80.3 percent after 2008; P < 0.01). The odds of spontaneous before 37 and 35 weeks of gestation decreased significantly in 2008 to 2012 versus 1998 to 2007 (adjusted odds ratio, 0.75 and 0.70, respectively), after adjustment for race, smoking, cerclage, and number of prior preterm deliveries.

"Our report suggests that progestin prophylaxis can reduce the rate of recurrent spontaneous preterm birth when barriers to care and treatment are aggressively removed and that the gestational age at initiation may affect the success of progestin ," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Understanding the mystery of preterm birth

Nov 12, 2013

Researchers at the University of Adelaide's Robinson Institute say there is still a lack of knowledge about the causes of preterm birth and what can be done to prevent it.

No increase in preterm delivery with Ramadan fasting

Aug 07, 2012

(HealthDay) -- Pregnant women who fast during the month of Ramadan do not have an increased risk of preterm delivery, regardless of when during gestation the fasting occurs, according to research published ...

Recommended for you

'Science' features advances in preterm birth

Aug 15, 2014

The Aug. 15 edition of the journal Science features a major article about the most important problem in obstetrics: preterm labor. The article, "Preterm labor: one syndrome, many causes," delivers a powerf ...

Treatment does not prevent pre-eclampsia, pregnancy loss

Aug 13, 2014

International research involving the University of Adelaide has shown an anti-blood clotting treatment that has been used for more than 20 years to prevent a range of serious pregnancy complications is not ...

User comments