A Randomized Trial of 17 Hydroxyprogesterone Caproate (17P) for
Prevention of Preterm Birth in Nulliparous Women with a Short
Cervix
- The purpose of this trial is to determine whether treatment
with progesterone (17P), initiated after 16 weeks but before
23 weeks of gestation, reduces the risk of a preterm delivery
(before 37 weeks) in nulliparous women with a a short cervix (less than
30 mm).
- Are between 16-22 weeks gestation
- Have a single-fetal pregnancy
- Have never delivered a baby after 19 weeks of pregnancy
- Cervix measures less than 30 mm (1.2 inches)
- A study-certified ultrasonographer will measure your cervix
using vaginal ultrasound.
- If your cervix measures less than 1.2 inches (30 mm), a
nurse may ask you if you are interested in participating in a
randomized, placebo controlled study of progesterone in pregnancy.
- If you consent to the trial, you will get weekly injections
containing 250 mg of either progesterone or placebo oil
in the muscle of your buttocks until either you deliver or you
reach 37 weeks of pregnancy.
- Information will be collected on your pregnancy, medical
procedures, labor and the status of your baby.
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A Randomized Trial of Thyroxine Therapy
for Subclinical Hypothyroidism or Hypothyroxinemia
Diagnosed During Pregnancy
- This trial is being conducted to determine whether treating
women, who are diagnosed with a mild imbalance of thyroid
hormones during pregnancy, with thyroid hormone replacement
affects their children's intellectual development at 5 years of age.
- Are between 8-20 weeks gestation
- Are pregnant with one fetus
- A test of your blood shows that your thyroid gland is mildly
under-active resulting in one of two conditions: subclinical
hypothyroidism or hypothyroxinemia
- Enrolled patients will take levothyroxine supplements (thyroid
replacement) or placebo daily until delivery.
- Patients will be seen every 4 weeks to count remaining capsules
of study medication, dispense study medication for the following
4 weeks, and to assess any side effects. Blood draws will be done
at these study visits and the dosage will be adjusted based on test
results.
- The children who are born to enrolled patients will have
developmental testing done each year until age 5.
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