Vaginal Progesterone in Twins With Short Cervix



Status:Not yet recruiting
Conditions:Women's Studies
Therapuetic Areas:Reproductive
Healthy:No
Age Range:18 - 60
Updated:5/3/2014
Start Date:March 2014
End Date:August 2018
Contact:Kimberly Maurel, MSN
Email:kimberly_maurel@pediatrix.com
Phone:714593-9171

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Vaginal Progesterone to Prevent Early Preterm Birth In Twin Pregnancy With Short Cervix. Double-Blind, Placebo-Controlled, Randomized Clinical Trial

A Multicenter, Double-Blind, Placebo-Controlled Randomized Clinical Trial of Vaginal
Progesterone to Prevent Early Preterm Birth In Twin Pregnancy with Short Cervix.

This is a placebo-controlled, double-blind, randomized clinical trial of asymptomatic women
with twin pregnancy and a cervix length 10 mm to 25 mm discovered on a routine screening
transvaginal sonogram between 20w0d to 24w0d gestational age. Women will be randomized in
either the in-patient or out-patient setting (1:1) to a daily vaginal application of
micronized progesterone cream(200 mg)vs. placebo to determine if daily vaginal progesterone
administration reduces the risk of preterm birth prior to 34w0d of gestation.

Inclusion Criteria:

- Gestational age between 20w0d and 24w0d

- Twin pregnancy, diamniotic-dichorionic, both twins living

- Cervical length 10 mm to 25 mm discovered by a screening transvaginal ultrasound exam

Exclusion Criteria:

- Mother less than 18 years of age

- Uterine contractions of 40 seconds duration or more, 10 or more per hour

- Rupture of fetal membranes (leakage of amniotic fluid one or both sacs)

- Ongoing vaginal bleeding

- Any condition likely to cause serious neonatal morbidity independent of gestational
age, including:

1. fetal malformation likely to require surgery

2. fetal malformation involving vital organs

3. fetal viral infection

4. hydrops fetalis

5. discordance in estimated fetal weight more than 10%

6. velamentous insertion of umbilical cord of either twin

7. placenta previa of either placenta

- Any contraindication to continuing the pregnancy

- Cervical cerclage in place or planned

- Any contraindication to vaginal micronized progesterone, including:

1. Known sensitivity to progesterone or any of the other ingredients

2. Liver dysfunction or disease

3. Known or suspected malignancy of breast or genital organs

4. Active thromboembolic disorder, or history of hormone-associated thromboembolic
disorder
We found this trial at
9
sites
Mesa, Arizona 85202
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Denver, Colorado 80218
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Denver, CO
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Grand Rapids, Michigan 49503
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Grand Rapids, MI
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Long Beach, California 90801
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Long Beach, CA
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Mobile, AL
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Phoenix, Arizona 85006
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Phoenix, AZ
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San Jose, California 95124
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San Jose, CA
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5300 Tallman Ave NW
Seattle, Washington 98122
(206) 782-2700
Swedish Medical Center Since 1910, Swedish has been the region's hallmark for excellence in health...
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Seattle, WA
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Tucson, Arizona 85712
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Tucson, AZ
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