Literature DB >> 20170407

Using 17 α-hydroxyprogesterone caproate to impact rates of recurrent preterm delivery in clinical practice.

Andrei Rebarber1, Nathan S Fox, Chad K Klauser, Niki B Istwan, Debbie J Rhea, Gary J Stanziano, Daniel H Saltzman.   

Abstract

OBJECTIVE: Evaluation of an outpatient 17 α-hydroxyprogesterone caproate (17P) administration programme.
METHODS: A retrospective analysis of data collected from patients with a history of preterm birth (PTB) and current singleton gestation enrolled between 16.0 and 20.9 weeks' gestational age (GA) for weekly outpatient 17P administration and nursing assessment between 7/2004 and 12/2007 was conducted (n=3139).
RESULTS: The population was mostly white (50.3%), 18-35 years old (77.7%), and married (67.0%). Median GA at 17P initiation and stop was 17.4 (16.0, 20.9) weeks and 35.1 (18.6, 37.4) weeks. Mean injections per patient were 16.5±4.9, at an interval of 7.2 days. Median GA at delivery was 37.3 (18.6, 44.0) weeks. Rate of recurrent spontaneous PTB was 29.8%, with 15.5% and 7.0% with PTB at <35 and <32 weeks.
CONCLUSIONS: This represents the largest cohort reported to date of patients prescribed 17P therapy in clinical practice to prevent recurrent spontaneous PTB.

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Year:  2010        PMID: 20170407     DOI: 10.3109/14767051003615418

Source DB:  PubMed          Journal:  J Matern Fetal Neonatal Med        ISSN: 1476-4954


  3 in total

1.  A national survey examining obstetrician perspectives on use of 17-alpha hydroxyprogesterone caproate post-US FDA approval.

Authors:  Andrei Rebarber; Nathan Fox; Chad K Klauser; Daniel Saltzman; Ashley S Roman
Journal:  Clin Drug Investig       Date:  2013-08       Impact factor: 2.859

2.  Extended Solution Gate OFET-based Biosensor for Label-free Glial Fibrillary Acidic Protein Detection with Polyethylene Glycol-Containing Bioreceptor Layer.

Authors:  Jian Song; Jennifer Dailey; Hui Li; Hyun-June Jang; Pengfei Zhang; Jeff Tza-Huei Wang; Allen D Everett; Howard E Katz
Journal:  Adv Funct Mater       Date:  2017-03-23       Impact factor: 18.808

3.  Guidelines for the management of spontaneous preterm labor: identification of spontaneous preterm labor, diagnosis of preterm premature rupture of membranes, and preventive tools for preterm birth.

Authors:  Gian Carlo Di Renzo; Lluis Cabero Roura; Fabio Facchinetti; Aris Antsaklis; Gregor Breborowicz; Eduard Gratacos; Peter Husslein; Ronnie Lamont; Anton Mikhailov; Nuno Montenegro; Nebojsa Radunovic; Mike Robson; Stephen C Robson; Cihat Sen; Andrew Shennan; Florin Stamatian; Yves Ville
Journal:  J Matern Fetal Neonatal Med       Date:  2011-03-02
  3 in total

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