Subchorionic Hematoma in the First Trimester Pregnancy, Miscarriage
Conditions
Brief summary
The aim of this study was to compare the therapeutic efficacy of lipoic acid versus progesterone by vaginal administration on subchorionic hematoma resorption in women at the first trimester of pregnancy with threatened miscarriage.
Interventions
Vaginal capsules (medical device) containing 10 mg of lipoic acid (1 per day)
Vaginal capsules (drug) containing 200 mg of progesterone (2 per day)
Sponsors
Study design
Eligibility
Inclusion criteria
* Age: 24-37 * Gestational week: 7- 12 * Evidence of threatened miscarriage (pelvic pain with or without vaginal bleeding) * Ultrasound evidence of subchorionic hematoma
Exclusion criteria
* Lack of fetus * Absence of fetal heart tone * Uterine anomaly or fetal anomaly * Presence of multiple pregnancy * Gestation pathology * Therapies with anti-coagulants or anti-hypertensive drugs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in subchorionic hematoma from baseline at 20 days and 40 days, assessed as %improvement/worsening by ultrasoud examination | T1 (20 days); T2 (40 days) | The evaluation of the hematoma significance is done comparing its size with that one of the gestational sac during the ultrasound examination. Changes in hematoma resorption (% improvement/ worsening) during the treatment were obtained for each patient by calculating the Δ percentage between two subsequent time points. |
Secondary
| Measure | Time frame |
|---|---|
| Number of participants with abdominal pain as assessed by questionnaire | T1 (20 days) |
| Number of participants with vaginal bleeding as assessed by questionnaire | T1 (20 days) |
| Number of participants who miscarried as assessed by ultrosound examination | 20 weeks of gestation |
Countries
Italy