Pregnancy Related
Conditions
Brief summary
The objective of this study is to evaluate the local pharmacokinetics of progesterone in pregnancy through evaluation of progesterone levels in maternal serum, endometrium, and cordblood in pregnant patients undergoing scheduled cesarean delivery.
Detailed description
The objective of this pilot study is to evaluate the local pharmacokinetics of progesterone in pregnancy through evaluation of progesterone levels in maternal serum, endometrium, and cordblood in pregnant patients undergoing scheduled cesarean delivery.
Interventions
200mg micronized progesterone placed vaginally
Sponsors
Study design
Intervention model description
Randomized controlled trial
Eligibility
Inclusion criteria
* Age ≥18yo * Singleton gestation, ≥36 0/7 weeks gestation * Scheduled cesarean delivery at Thomas Jefferson University Hospital or affiliate
Exclusion criteria
* Contraindication to vaginal progesterone suppository * Active hepatic disease * Prior or current thrombus * Known adverse reaction to progesterone * Peanut allergy * Bleeding disorder (such as thrombophilia) * Use of 17-hydroxyprogesterone caproate in the pregnancy * Use of vaginal progesterone in the pregnancy * History of adverse reaction to progesterone * Current vaginitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Endometrial (ng/mg) progesterone time/concentration profile | 12 hours | Concentration of progesterone in endometrium, sampled at time of scheduled c-section |
| Plasma (ng/ml) progesterone time/concentration profile | 12 hours | concentration of serum progesterone, sampled at time of scheduled c-section |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Side effect survey | 24hr after delivery | survey of side effects |
Countries
United States