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Progesterone and Preterm Birth: Using Empirical Research to Explore Structural Racism Within Midwifery-Led Care. | LitMetric

Progesterone and Preterm Birth: Using Empirical Research to Explore Structural Racism Within Midwifery-Led Care.

J Perinat Neonatal Nurs

Department of Family Medicine, UNC School of Medicine, Chapel Hill, North Carolina (Ms Standard); Integrated Research Center for Fetal Medicine, GYN/OB Department, School of Medicine, Johns Hopkins University, Baltimore, Maryland (Dr Jones-Beatty); El Rio Health, Tucson, Arizona (Ms Joseph-Lemon); Midwifery Melanated, LLC, Washington, District of Columbia (Dr Marcelle); Midwifery and Women's Health, Frontier Nursing University, Versailles, Kentucky (Drs Morris and Jolles); Midwifery Collective, Brooklyn, New York (Ms Williams); Community of Hope, Washington, District of Columbia (Ms Brown); Mel and Enid Zuckerman College of Public Health at the University of Arizona, Tucson (Ms Oura); and American Association of Birth Centers Perinatal Data Registry, Perkiomenville, Pennsylvania (Dr Stapleton).

Published: July 2022

AI Article Synopsis

Article Abstract

Background: Progesterone has been the standard of practice for the prevention of preterm birth for decades. The drug received expedited Food and Drug Administration approval, prior to the robust demonstration of scientific efficacy.

Methods: Prospective research from the American Association of Birth Centers Perinatal Data Registry, 2007-2020. Two-tailed t tests, logistic regression, and propensity score matching were used.

Results: Midwifery-led care was underutilized by groups most at risk for preterm birth and was shown to be effective at maintaining low preterm birth rates. The model did not demonstrate reliable access to progesterone. People of color are most at risk of preterm birth, yet were least likely to receiving progesterone treatment. Progesterone was not demonstrated to be effective at decreasing preterm birth when comparing the childbearing people with a history of preterm birth who used the medication and those who did not within this sample.

Conclusions: This study adds to the body of research that demonstrates midwifery-led care and low preterm birth rates. The ineffectiveness of progesterone in the prevention of preterm birth among people at risk was demonstrated.

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Source
http://dx.doi.org/10.1097/JPN.0000000000000664DOI Listing

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