Preterm Labor Prevention Using Vaginal Antiseptics Prior to 16 Weeks of Gestation
NCT05944094 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 1117
Last updated 2023-07-13
Summary
The aim of this prospective observational study was to evaluate the efficacy of a universal strategy of primary prevention of preterm birth using intravaginal chlorhexidine (CLX) applied before 16 weeks.
The main question is whether universal treatment with vaginal CLX before 16 weeks would reduce the incidence of preterm birth, especially before 34 weeks.
Participants were recruited at the routine first trimester consultation. All patients underwent an initial ultrasound examination between 6+0 and 15+6 weeks gestation, including assessment of embryo/fetus vitality.
Antiseptic treatment aimed at reducing possible bacterial overgrowth consisted of 10 days (1 box) of CLX vaginal ovules (CLX digluconate 0.2%) always starting between 9+0 and 16+0 weeks.
As this product is widely marketed and frequently indicated in gynaecology, we did not deprive the non-treated group of treatment because we wanted to assess whether it could have an effect on reducing preterm delivery.
The pregnant women were then followed up until the end of pregnancy and compared with a cohort of patients who had not received any treatment.
All data related to delivery were collected, as well as any events related to preterm delivery, such as onset of contractions, cervical shortening and premature rupture of membranes, regardless of final gestational age at delivery.
Conditions
Interventions
- DEVICE
-
Clorhexidine
Antiseptic treatment aimed at reducing potential bacterial overgrowth consisted of 10 days (1 box) of vaginal ovules of CLX (CumLaude CLX ® , CLX digluconate 0.2%) always starting between 10+0 and 16+0 weeks.
Sponsors & Collaborators
-
Hospital Universitario La Fe
collaborator OTHER -
Instituto de Investigacion Sanitaria La Fe
lead OTHER
Principal Investigators
-
José Morales-Roselló, Prof.Dr · Instituto de Investigación Sanitaria La Fe
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-06-01
- Primary Completion
- 2022-12-20
- Completion
- 2023-06-16
- FDA Device
- Yes
Countries
- Spain
Study Locations
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