{"id":110995,"date":"2020-02-27T12:33:09","date_gmt":"2020-02-27T17:33:09","guid":{"rendered":"https:\/\/wp.oviahealth.com\/guide\/110995\/hub-progesterone-v2\/"},"modified":"2025-06-11T10:17:28","modified_gmt":"2025-06-11T14:17:28","slug":"hub-progesterone-v2","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/110995\/hub-progesterone-v2\/","title":{"rendered":"How effective is progesterone for preventing preterm birth?"},"content":{"rendered":"\n<p><span style=\"font-weight: 400;\">Preterm birth can be dangerous for newborns and their mothers, and not all preterm births are alike &#8211; the earlier they are, the greater the risk. This is why medications and treatment designed to avoid preterm birth aim to prolong pregnancy until as close to full term as possible, whether that means adding three days to the length of a pregnancy, or three weeks.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Who might progesterone be a good fit for?<\/h2>\n\n\n\n<p>Studies show that weekly progesterone treatments may help reduce the risk of preterm birth for those who have certain risk factors, like a short cervix. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><meta charset=\"utf-8\">What about if you have a history of preterm birth? <\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Those who have had spontaneous preterm deliveries of single babies in the past are especially at risk for preterm delivery. Some research suggested that progesterone treatment was helpful for those with a history of prior preterm birth, and that getting weekly progesterone injections would lower the risk of preterm labor. However, the&nbsp;<a class=\"c-link\" data-stringify-link=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31652479\/\" data-sk=\"tooltip_parent\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31652479\/\" target=\"_blank\" rel=\"noopener noreferrer\">PROLONG study published in 2020<\/a>&nbsp;found that weekly progesterone injections&nbsp;<i data-stringify-type=\"italic\">did not<\/i> have a significant benefit for those with a history of preterm birth. <\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Because the evidence is mixed for those with a history of preterm birth, talk through the possible benefits and risks of progesterone treatment with your healthcare provider. <\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">How does it work?<\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Progesterone works by preventing the contractions that kickstart labor. This means that even in cases where progesterone treatments don\u2019t prevent preterm labor, they may delay labor significantly, giving babies longer to develop in the womb. Babies who are considered to be \u201clate preterm\u201d &#8211; babies born between 34 and 36 weeks gestation &#8211; have a lower risk of more dangerous health complications, and the closer to term a pregnancy gets, the better the odds are.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Progesterone isn\u2019t an effective treatment for those carrying twins or multiples, and may not be right for those who have personal histories of certain health conditions. If you&#8217;re concerned about your risk for preterm labor, talk to your provider about possible prevention strategies. <\/span><\/p>\n\n\n\n<p>Learn more about preterm labor<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Read more<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.oviahealth.com\/guide\/111499\/pretrm_expectant_moms\/\">The power of preparing for preterm birth<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.oviahealth.com\/guide\/17000\/risk-factors-preterm-birth-ptd\/\">Risk factors for preterm labor and birth<\/a><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sources<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Vincenzo Berghella. \u201cCervical insufficiency.\u201d <\/span><em><span style=\"font-weight: 400;\">UpToDate<\/span><\/em><span style=\"font-weight: 400;\">. Wolters Kluwer, December 5 2017. Retrieved December 19 2017. https:\/\/www.uptodate.com\/contents\/cervical-insufficiency. <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Mary L. Gavin. \u201cWhen do pregnant women need progesterone shots?\u201d <\/span><em><span style=\"font-weight: 400;\">KidsHealth<\/span><\/em><span style=\"font-weight: 400;\">. The Nemours Foundation, November 2016. Retrieved December 19 2017. http:\/\/kidshealth.org\/en\/parents\/progesterone-shot.html. <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">S.S. Hassan. \u201cVaginal progesterone reduces the rate of preterm birth in women with sonographical short cervix: a multicenter, randomized, double-blind, placebo-controlled trial.\u201d <\/span><em><span style=\"font-weight: 400;\">Ultrasound in Obstetrics and Gynecology<\/span><\/em><span style=\"font-weight: 400;\">. 38(1): 18-31. July 2011. Retrieved December 20 2017. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21472815. <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Paul J. Meis, et al. \u201cPrevention of Recurrent Preterm Delivery by 17 Alpha Hydroxyprogesterone Caproate.\u201d <\/span><em><span style=\"font-weight: 400;\">New England Journal of Medicine<\/span><\/em><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">2003; 348:2379-2385. June 12 2003. Retrieved December 20 2017. http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa035140. <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">M.S. To, J. Miletin, J. Semberova, S. Daly. \u201cIs routine tranvaginal cervical length measurement cost-effective in a population where the risk of spontaneous preterm birth is low?\u201d <\/span><em><span style=\"font-weight: 400;\">Acta Obstetrica Gynecologica Scandinavica<\/span><\/em><span style=\"font-weight: 400;\">. 95(12): December 2016. Retrieved December 19 2017. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27623283. <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u201cPreterm birth fact sheet.\u201d <\/span><em><span style=\"font-weight: 400;\">World Health Organization<\/span><\/em><span style=\"font-weight: 400;\">. World Health Organization, November 2017. Retrieved December 20 2017. http:\/\/www.who.int\/mediacentre\/factsheets\/fs363\/en\/. <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">\u201cProgesterone treatment to help prevent preterm birth.\u201d March of Dimes<\/span><em><span style=\"font-weight: 400;\">. March of Dimes<\/span><\/em><span style=\"font-weight: 400;\">, August 2014. Retrieved December 19 2017. https:\/\/www.marchofdimes.org\/complications\/progesterone-treatment-to-help-prevent-premature-birth.aspx.<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">M.S. To, et al. \u201cCervical assessment at the routine 23-week scan: standardizing techniques.\u201d <\/span><em><span style=\"font-weight: 400;\">Ultrasound in Obstetrics &amp; Gynecology<\/span><\/em><span style=\"font-weight: 400;\">. 17(3): 217-9. March 2001. Retrieved December 19 2017. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/11309170. <\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Cerner Multum. \u201cProgesterone vaginal.\u201d <\/span><em><span style=\"font-weight: 400;\">University of Michigan<\/span><\/em><span style=\"font-weight: 400;\">. Regents of the University of Michigan, March 13 2015. Retrieved December 19 2017. http:\/\/www.uofmhealth.org\/health-library\/d00550t1.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Women who are diagnosed with short cervixes are especially at risk for preterm delivery, which is why they are commonly prescribed the hormone progesterone. Progesterone works by preventing the contractions that kickstart labor.<\/p>\n","protected":false},"author":1,"featured_media":233807,"template":"","format":"standard","meta":{"ovia_author_name":"","ovia_author_prefix":"","ovia_author_image":"","ovia_content_type_id":"175","ovia_product_mode":"3","ovia_days_from_signup":"","ovia_days_from_lmp":"234","ovia_days_from_baby_birth":"","ovia_days_from_enroll":"","ovia_health_module_days_from":"","ovia_article_for_email_days_from":"","ovia_health_module":"","ovia_legacy_id2":"","ovia_ttc":"","ovia_article_subtype":"","ovia_health_symptom":"","ovia_partner_id":"","ovia_partner_custom_group":"","ovia_legacy_category":"","ovia_legacy_category2":"","ovia_content_url_id":"110995","ovia_include_share_buttons":"","ovia_fertility_goal":"","ovia_secondary_module":"","ovia_trimester":"","ovia_child_age":"","ovia_share_image":"","ovia_more_menu_image":"","ovia_button1_url":"","ovia_days_from_postpartum":"","footnotes":"","_links_to":"","_links_to_target":""},"fert-category":[],"preg-category":[57,56],"parent-category":[],"fert-tag":[],"preg-tag":[281],"parent-tag":[],"class_list":["post-110995","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","preg-category-prenatal-testing-screening","preg-category-staying-healthy-while-pregnant","preg-tag-prenatal-vitamins"],"yoast_head":"<!-- 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