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Study aim
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comparison of oral Dydrogesterone and 17α Hydroxyprogesterone Caproate in prevention of preterm birth in patients with preterm labor
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Design
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This study is a randomized double-blind clinical trial performed on 150 pregnant women with preterm labor diagnosis and consists of control group, parallel groups
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Settings and conduct
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This study is conducted on pregnant women admitted to Ommol-Banin, Ghaem and Imam Reza Hospitals in Mashhad with 28 to 34 weeks of gestation and preterm labor diagnosis before 37 weeks who have cervical changes. These patients are treated with magnesium sulfate and have no contraction within 12 and no recurrence within 48 hours. In order to enter the study, patients are evaluated based on inclusion criteria.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: age between 18 to 35 years old, gestational age between 28 to 34 weeks, no recurrence of preterm labor 48 hours after treatment, singleton pregnancy
Exclusion criteria: PROM, chorioamnionitis, severe preeclampsia, use of progesterone before entering the study, contraindications to use of progesterone, contraindications to Tocolysis, dilation of more than 4 cm, fetal anomaly, cervical cerclage, no regular use of medication
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Intervention groups
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Intervention group 1: Patients with gestational age up to 36 weeks and 6 days or with any delivery time less than it will receive three tablets of 10 mg Dihydrogesterone after each meal.
Intervention group 2: Patients will receive a 250 mg intramuscular 17α Hydroxyprogesterone Caproate (femolife) weekly.
Control group: They receive no medication.
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Main outcome variables
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latency period to delivery time and gestational age at birth; neonatal outcomes; birth weight; stillbirth