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Effect of Vaginal Progesterone after tocolytic therapy in threatened preterm labor.

Article

Last updated: 24 Dec 2024

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Tags

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Abstract

Background:Preterm labour,accounts for the vast majority of infant mortality and morbidity. One of perinatal care primary goals is now the prevention of preterm labour.aim: to determine whether vaginal progesterone maintenance medication could lengthen the latency period following a successful episode of preterm labour, this study examined this possibility. Methods: The women were split into two groups when the uterine contractions stopped:50 patients made up the first group (the study group).A micronized progesterone supplement, was administered to women daily in doses of 200 mg. Progesterone vaginal suppository was continued, and the women were told to reduce their physical activity, until 36 weeks of gestation. There were 50 patients in the second group (the control group). In addition to being told to minimize their physical activity, women were not offered any medicines or follow-up care. Patients were kept in the hospital if labour pain persisted; otherwise, if they were stable, they were released. RESULTS: the study discovered that vaginal progesterone lower the risk of labour before 37 weeks of gestation for women who are more likely to high risk for preterm labour,. Accordingly, treatment with progesterone agents to lessen preterm birth complications should continue to women who are at risk . CONCLUSION: In this study, it was discovered that preventive treatment of 200 mg vaginal suppositories of progesterone following successful tocolysis was linked to a longer gestation period and improved fetal outcomes in high risk patients.

DOI

10.21608/bmfj.2024.258940.1986

Keywords

Preterm, vaginal, Labour, progesterone

Authors

First Name

Ahmed

Last Name

K.Abbas

MiddleName

-

Affiliation

Department of Obstetrics & Gynecology, faculty of medicine, Benha University, Kalubia, Egypt.

Email

dr.ahmed.attia2021@gmail.com

City

-

Orcid

-

First Name

Wael

Last Name

Naeem

MiddleName

-

Affiliation

Department of Obstetrics & Gynecology, faculty of medicine, Benha University, Kalubia, Egypt.

Email

drwael01@gmail.com

City

Benha

Orcid

-

First Name

Omar

Last Name

K.Naser

MiddleName

-

Affiliation

Department of Obstetrics & Gynecology, faculty of medicine, Benha University, Kalubia, Egypt.

Email

omarkhaled@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Gamal Goda Helal

MiddleName

-

Affiliation

Department of Obstetrics & Gynecology, faculty of medicine, Benha University, Kalubia, Egypt.

Email

ahmed.goda@fmed.bu.edu.eg

City

kafr shokr

Orcid

-

First Name

Labiba

Last Name

Kasem Elsayed

MiddleName

-

Affiliation

Department of Obstetrics & Gynecology, faculty of medicine, Benha University, Kalubia, Egypt.

Email

mrwa.omar2017@gmail.com

City

benha

Orcid

-

First Name

Heba

Last Name

Khatab

MiddleName

Mohamed

Affiliation

obstetrics & Gynecology department Ahmed Maher teaching Hospital Cairo ,Egypt

Email

drhebakhatab@gmail.com

City

cairo

Orcid

-

First Name

Ali

Last Name

A. Bendary

MiddleName

-

Affiliation

department of Obstetrics & Gynecology, Faculty of Medicine, Benha University, Benha. Egypt.

Email

abendary@yahoo.com

City

-

Orcid

-

Volume

41

Article Issue

1

Related Issue

46687

Issue Date

2024-03-01

Receive Date

2023-12-28

Publish Date

2024-03-01

Page Start

88

Page End

93

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_342914.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=342914

Order

9

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Effect of Vaginal Progesterone after tocolytic therapy in threatened preterm labor.

Details

Type

Article

Created At

24 Dec 2024