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The learning curve in silicone ring around uterine cervix

Not Applicable
Conditions
Maternal care for cervical incompetence
Preterm labor
preterm labor with preterm delivery
preterm labor with term delivery
O34.3
O60.1
O60.2
Registration Number
RBR-46rgjc
Lead Sponsor
niversidade Federal de São Paulo - UNIFESP
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruitment completed
Sex
Female
Target Recruitment
Not specified
Inclusion Criteria

Pregnant women between 18th to 24th week of gestation with cervical length lower or equal 25 mm

Exclusion Criteria

Cervical cerclage in current pregnancy; Greater than 1 cm cervical dilatation; Painful uterine activity; Labor; Rupture of membranes; Protrusion of membranes in the gynecological examination; Active vaginal bleeding; Placenta previa; Severe hepatic disease; Cholestasis during pregnancy; Thromboembolic event during pregnancy; multiple pregnancies; Major fetal abnormalities; Fetal death

Study & Design

Study Type
Intervention
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Decrease of rate of preterm birth below 34 weeks, by means of cervical pessary plus progesterone, from a detection of at least 50% variation on the cumulative sum, determining the learning curve.
Secondary Outcome Measures
NameTimeMethod
Evaluate the increase of the gestational age at birth, by means of cervical pessary plus progesterone, from a detection of at least 50% variation on the cumulative sum.<br><br>;Evaluate the increase of the birthweigth, by means of cervical pessary plus progesterone, from a detection of at least 50% variation on the cumulative sum.;Evaluate the difference in individual performance of responsible researchers, regarding gestational age at inclusion, cervical length at inclusion and gestational age at delivery, by means of cervical pessary plus progesterone, from a detection of at least 50% variation on the cumulative sum.;Evaluate the Odds Ratio for preterm birth below 34 weeks, by means of cervical pessary plus progesterone, from a detection of at least 50% variation on the cumulative sum.;Evaluate the Kaplan-Meyer Survival analysis for preterm birth below 34 weeks, by means of cervical pessary plus progesterone, from a detection of at least 50% variation on the cumulative sum.
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