Evidence map›Paper›PMID 20452487›Full record

ArticleAmerican journal of obstetrics and gynecology2010

Pharmacologic actions of progestins to inhibit cervical ripening and prevent delivery depend on their properties, the route of administration, and the vehicle.

Ruben J Kuon, Shao-Qing Shi, Holger Maul, Christof Sohn, James Balducci, William L Maner, Robert E Garfield

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01406197 (Uterine Abdominal Electromyography Measurements Before and After Progesterone Treatments for Preterm Labor), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01406197 nawithdrawnnot on this mapstarted 2011, after this paper: background citation

Uterine Abdominal Electromyography Measurements Before and After Progesterone Treatments for Preterm Labor

TypeinterventionalSponsorSt. Joseph's Hospital and Medical Center, PhoenixRan2011 to 2013Enrolled0ConditionsPreterm LaborArmsExperimental: Vaginal progesterone, Experimental: Topical progesterone, Experimental: Intramuscular progesterone
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Immunomodulatory Role of Natural Progesterone in Pregnancy: A Review.The journal of obstetrics and gynaecology research · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Next generation strategies for preventing preterm birth.Advanced drug delivery reviews · 2021
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Development of a mucoinert progesterone nanosuspension for safer and more effective prevention of preterm birth.Journal of controlled release : official journal of the Controlled Release Society · 2019
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Ruben J KuonDepartment of Obstetrics and Gynecology, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85004, USA.
Shao-Qing Shi
Holger Maul
Christof Sohn
James Balducci
William L Maner
Robert E Garfield
St. Joseph's Hospital and Medical Center · USHeidelberg University · DE

Funding

UTERINE CONTRACTILITY AND CERVICAL RIPENING IN PREGNANCYR01HD037480 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI GARFIELD, ROBERT E · 1999 to 2009
$3.4M
NICHD NIH HHS R01 HD037480
6 · The paper itself

Abstract

objectiveThe purpose of this study was to evaluate cervical changes and delivery at term during pregnancy in rats after various progestin treatments. STUDY

designPregnant rats were treated by various routes and vehicles with progesterone, 17-alpha-hydroxyprogesterone caproate (17P), R5020, and RU-486. Delivery time was determined and cervical ripening was assessed in vivo by collagen light-induced fluorescence.

resultsThe cervix is rigid in the progesterone injection, 17P, and vaginal R5020 groups vs controls. Vaginal progesterone had no effect. RU-486 treatment softened the cervix during preterm delivery. Only subcutaneous injected progesterone, R5020 (subcutaneous and vaginal), and topical progesterone in sesame and fish oil inhibits delivery. Delivery is not changed by subcutaneous injection of 17P, vaginal progesterone, oral progesterone, and topical progesterone in Replens (Crinone; Columbia Labs, Livingston, NJ).

conclusionInhibition of cervical ripening and delivery by progestins depends on many factors that include their properties, the route of administration, and the vehicle. This study suggests reasons that the present treatments for preterm labor are not efficacious.

Indexed as

17-alpha-HydroxyprogesteroneAnimalsCervical RipeningFemaleFish OilsLipidsPregnancyPremature BirthProgesteroneProgestinsPromegestoneRatsRats, Sprague-DawleySesame OilVaginal Creams, Foams, and Jellies17-alpha-HydroxyprogesteroneFish OilsLipidsProgesteroneProgestinsPromegestoneReplensSesame OilVaginal Creams, Foams, and Jellies

Identifiers

PMID20452487
PMCPMC3048062
OpenAlexW2136362992

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.