About this trial
The aim of this study is to identify independent prognostic factors associated with the success of short-term tocolysis, defined as delivery delayed by at least 48 hours, in women with singleton preterm labor
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age from 18 to 45 years old.
Singleton Pregnancy
Gestational age between 24 and 34 weeks, confirmed by last menstrual period and/or first-trimester ultrasound.
Diagnosis of preterm labor, defined as Regular uterine contractions (≥4 in 20 minutes recorded in CTG) with a documented change in cervical dilation (e.g., from<1 cm to ≥2 cm) or, in nulliparous women, a dilation of ≥2 cm
Disqualifiers
Evidence of chorioamnionitis or intrauterine infection.
Preterm premature rupture of membranes (PPROM).
Maternal medical disorders contraindicating tocolysis, such as severe preeclampsia, significant cardiac disease, or uncontrolled diabetes mellitus.
Contraindications to continuation of pregnancy, including placental abruption or placenta previa with bleeding.
Trial population
All participants will receive short-term tocolytic therapy according to the unit protocol. * The choice of tocolytic agent (., Magnesium sulphate ) will be determined by the treating physician. * Tocolysis will be administered for a maximum duration of 48-72 hours. * Antenatal corticosteroids (Betamethasone amp 12mg once daily for 2days) will be administered to eligible participants to enhance fetal lung maturity. * Failure documented when there is efficient uterine contractions more 4/10mins each one lasts more than 40 seconds, and there was progressive cervical dilatation more 3cm
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Successful short-term tocolysis, defined as postponement of delivery for at least 48 hours after initiation of tocolytic therapy
Locations
Sponsors and contacts
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