Status:

UNKNOWN

Effect of Cervical Cerclage With Vaginal Progesterone in Asymptomatic Twin Pregnancies With a Sonographic Short Cervix

Lead Sponsor:

Aswan University Hospital

Conditions:

Twin; Pregnancy, Affecting Fetus or Newborn

Eligibility:

FEMALE

18-45 years

Phase:

NA

Brief Summary

The objective of the present study is to evaluate the effectiveness of vaginal progesterone and cervical cerclage each alone and in combination in improving gestational age in twin pregnancy and its s...

Detailed Description

There is a lack of effective, evidence-based interventions for the prevention of preterm birth in twin pregnancies. There is limited evidence for the use of vaginal progesterone and cervical cerclage,...

Eligibility Criteria

Inclusion

  • Women pregnant in dichorionic twins.
  • Transvaginal sonographic cervical length is \<25 mm at 16-20 weeks gestational age.
  • No symptoms, signs or other risk factors for preterm labor

Exclusion

  • Age \< 18 years or \> 45 years.
  • Known allergy or contraindication (relative or absolute) to progesterone therapy.
  • Monochorionic twins.
  • Known major fetal structural or chromosomal abnormality.
  • Intrauterine death of one fetus or death of both fetuses.
  • Fetal reduction in the current pregnancy.
  • Medical conditions that may lead to preterm delivery.
  • Rupture of membranes.
  • Vaginal bleeding

Key Trial Info

Start Date :

January 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2021

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT03781466

Start Date

January 1 2019

End Date

March 1 2021

Last Update

February 15 2019

Active Locations (1)

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1

Aswan University

Aswān, Egypt, 81528