Premature labor, Fibronectin, Cervical length measurement, Nifedipine, Tocolysis Vroeggeboorte, Fibronectine, Cervixlengte, Nifedipine, Tocolyse.
Conditions
Interventions
All patients will be tested for fibronectin and cervical length. Patients with a negative fibronectin test and a cervix between 10-30 mm will be randomly allocated to nifedipine or placebo for 2 days.
Sponsors
Amsterdam Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: 1. Gestational age between 24 and 34 weeks; 2. Symptoms of preterm labor; 3. Cervical length between 10-30 mm; 4. Intact membranes.
Exclusion criteria
Exclusion criteria: 1. Dilation > 3cm; 2. Vaginal bleeding; 3. Signs of fetal distress that could lead to pregnancy termination; 4. Maternal disease (i.e. severe preeclampsia, HELLP syndrome) that could lead to pregnancy termination; 5. Previous treatment for threatened preterm labor in the current pregnancy; 6. Contra indications for nifedipine.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Neonatal mortality; 2. Neonatal morbidity; 3. Maternal morbidity (side effects of tocolytics); 4. Costs; 5. Health related quality of life. | — |
Primary
| Measure | Time frame |
|---|---|
| Number of days to delivery truncated at 7 days. | — |
Contacts
Public ContactJolande Vis
Outcome results
None listed