Vaginal progesterone to prevent preterm delivery among HIV-infected pregnant women in Zambia: A feasibility study

Autor: Jennifer Winston, Joan T. Price, Bellington Vwalika, Jeffrey S. A. Stringer, Winifreda M. Phiri, Chileshe M. Mabula-Bwalya, Helen B. Mulenga, Bethany L. Freeman
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Bacterial Diseases
Maternal Health
HIV Infections
Cervix Uteri
Biochemistry
Treponematoses
law.invention
0302 clinical medicine
Randomized controlled trial
law
Pregnancy
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Lipid Hormones
Progesterone
030219 obstetrics & reproductive medicine
Multidisciplinary
Obstetrics
Pharmaceutics
Obstetrics and Gynecology
HIV diagnosis and management
Vaccination and Immunization
3. Good health
Cervical Length Measurement
Infectious Diseases
Research Design
Vagina
Gestation
Medicine
Premature Birth
Female
Pregnancy
Multiple

Research Article
Neglected Tropical Diseases
Adult
medicine.medical_specialty
Science
Urology
Immunology
Sexually Transmitted Diseases
Antiretroviral Therapy
Zambia
Suppository
Placebo
Preterm Birth
Research and Analysis Methods
03 medical and health sciences
Dose Prediction Methods
Antiviral Therapy
medicine
Humans
Syphilis
Risk factor
Vaginal microbicide
business.industry
Genitourinary Infections
Infant
Newborn

Biology and Life Sciences
Pilot Studies
medicine.disease
Tropical Diseases
Hormones
Diagnostic medicine
Pregnancy Complications
Administration
Intravaginal

Birth
Women's Health
Feasibility Studies
Preventive Medicine
business
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 1, p e0224874 (2020)
ISSN: 1932-6203
Popis: Antenatal vaginal progesterone (VP) reduces the risk of preterm birth (PTB) in women with shortened cervical length, and we hypothesize that it may also prevent PTB in women with HIV as their primary risk factor. We conducted a pilot feasibility study in Lusaka, Zambia to investigate uptake, adherence, and retention in preparation for a future efficacy trial. This was a double-masked, placebo-controlled, randomized trial of 200mg daily self-administered VP suppository or placebo. Pregnant women with HIV who were initiating or continuing antiretroviral therapy were eligible for participation. Potential participants underwent ultrasound to assess eligibility; we excluded those ≥24 gestational weeks, with non-viable, multiple gestation, or extrauterine pregnancies, with short cervix (
Databáze: OpenAIRE