Evidence map›Paper›PMID 28768474›Full record

Trial reportBMC pregnancy and childbirth2017

Progesterone in women with arrested premature labor, a report of a randomised clinical trial and updated meta-analysis.

Stephen Wood, Yacov Rabi, Selphee Tang, Rollin Brant, Susan Ross

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

5 authors at 4 institutions in 1 country.

Stephen WoodDepartment of Obstetrics and Gynaecology, University of Calgary, 4th Floor, North Tower, Foothills Medical Centre 1441 - 29th Street NW, Calgary, AB, T2N 2T9, Canada. Stephen.wood@albertahealthservices.ca.ORCID http://orcid.org/0000-0001-9789-0086
Yacov RabiAlberta Children's Hospital Research Institute, Foothills Medical Centre, Room, rm C211 1403 - 29th Street NW, Calgary, AB, T2N 2T9, Canada.
Selphee TangDepartment of Obstetrics and Gynaecology, University of Calgary, 4th Floor, North Tower, Foothills Medical Centre 1441 - 29th Street NW, Calgary, AB, T2N 2T9, Canada.
Rollin BrantDepartment of Statistics, University of British Columbia, ESB rm 3146, 2207 Main Mall F512-4480 Oak Street, Vancouver, BC, Canada.
Susan RossObstetrics & Gynecology, University of Alberta, 5S141 Lois Hole Hosp/Robbins Pav/RAH, Edmonton, AB, T5H 3V9, Canada.
University of Calgary · CAAlberta Children's Hospital · CAUniversity of Alberta · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProgesterone may be effective in prevention of premature birth in some high risk populations. Women with arrested premature labor are at risk of recurrent labor and maintenance therapy with standard tocolytics has not been successful.

methodsRandomized double blinded clinical trial of daily treatment with 200 mg vaginal progesterone in women with arrested premature labor and an updated meta-analysis.

resultsThe clinical trial was terminated early after 41 women were enrolled. Vaginal progesterone treatment did not change the median gestational age at delivery: 36+2 weeks versus 36+4 weeks, p = .865 nor increase the mean latency to delivery: 44.5 days versus 46.6 days, p = .841. In the updated meta-analysis, progesterone treatment did reduce delivery <37 weeks gestation and increase latency to delivery, but this treatment effect was not evident in the high quality trials: (OR 1.23, 95% CI 0.91, 1.67) and (-0.95 days, 95% CI -5.54, 3.64) respectively.

conclusionProgesterone is not effective for preventing preterm birth following arrested preterm labor.

Indexed as

Administration, IntravaginalAdultDelivery, ObstetricDouble-Blind MethodFemaleGestational AgeHumansObstetric Labor, PrematurePregnancyPremature BirthProgesteroneProgestinsRecurrenceSecondary PreventionTreatment OutcomeYoung AdultProgesteroneProgestinsClinical trialMaintenance tocolysisMeta-analysisPremature laborProgesterone

Identifiers

PMID28768474
PMCPMC5541428
OpenAlexW2740360193

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.