STUDY ON EFFICACY OF UTROGESTAN AS TOCOLYSIS FOR PRETERM LABOR
Trial Snapshot
- Phase
- Phase 2
- Sponsor
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- latency period interval between time of tocolysis and delivery
Study Overview
Brief Summary
RESEARCH HYPOTHESIS
-Incidence of preterm delivery is lower in women treated with oral micronized progesterone (Utrogestan) as acute tocolysis agent compare to Nifedipine group with fewer maternal side effect
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Singleton pregnancy women between 22 and 34 weeks of gestation who presented with threatened preterm labor.
Exclusion Criteria
- •Multiple pregnancies
- •Women with Preterm Prelabour Rupture of Membrane
- •Fetal death
- •Women with bad obstetric history
- •Women with history of cervical incompetence
- •Contraindication to Nifedipine such as cardiovascular disease, hyperthyroidism, severe pre eclampsia or to Utrogestan
- •Maternal or fetal indication for immediate delivery, such as fetal distress, bleeding placenta previa, abruption placenta
- •Contraindication for tocolysis, for example severe pre eclampsia, intrauterine growth restriction, fetal anomaly, chorioamnionitis, significant antepartum haemorrhage
- •Cervical dilatation of 3cm or more
- •Patients with previous tocolytic treatment during this pregnancy
- •Women who refuse to participate in this study
Arms & Interventions
Utrogestan
oral tablet Utrogestan 400mg daily for 2 days
Intervention: utrogestan (Drug)
Nifedipine
tablet Nifedipine 20 mg stat then 20 mg after 30 minutes then another 20 mg after 30 minutes followed by 10 mg three times daily for 2 days
Intervention: Nifedipine (Drug)
Outcomes
Primary Outcomes
latency period interval between time of tocolysis and delivery
Time Frame: 24 hours up to 7 days
delivery less than 24 hours of tocolysis,delivery less than 48 hours of tocolysis, delivery less than 7 days of tocolysis
Secondary Outcomes
- Neonatal outcome(24 hours)
- Pregnancy outcomes(34 weeks of gestational age)
- Maternal side effect(30 minutes up to 48 hours)
Investigators
nor zila hassan malek
medical officer
National University of Malaysia
