Progesterone for prevention of preterm birth
From: Hugo D Ribot Jr (hribot@mindspring.com)
Sun Jan 28 10:25:35 2007
Aloha folks!
Does anybody routinely use I.M. progesterone for reduction in risk of
preterm birth since the 2003 NEJM article by Meis et. al. was
published? ( N Engl J Med 2003; 348:2379-2385, Jun 12, 2003)
Also, is anyone aware of any data on the use of 8% progesterone
intravaginally (U.S. brand name Prochieve) for this purpose?
I was asked this the other day and personally have not used it, as the
rate of PTL in our population is much lower than the 54% seen in Meis'
control group, so I don't think these data extrapolate across the board.
--
Hugo D. Ribot Jr., M.D., FACOG
Cartersville, Georgia
Private practice since 1990
3 MDs/3 CNMs
