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Related Concept Videos

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Related Experiment Video

Updated: Jul 19, 2026

Human Primary Trophoblast Cell Culture Model to Study the Protective Effects of Melatonin Against Hypoxia/reoxygenation-induced Disruption
12:02

Human Primary Trophoblast Cell Culture Model to Study the Protective Effects of Melatonin Against Hypoxia/reoxygenation-induced Disruption

Published on: July 30, 2016

Progesterone for preventing pre-eclampsia and its complications.

S Meher1, L Duley

  • 1The University of Liverpool, Division of Perinatal and Reproductive Medicine, First Floor, Liverpool Women's NHS Foundation Trust, Crown Street, Liverpool, UK. s.meher@liv.ac.uk

The Cochrane Database of Systematic Reviews
|October 21, 2006
PubMed
Summary

Current evidence is insufficient to support progesterone use for preventing pre-eclampsia. More research is needed to determine its benefits and harms in pregnancy.

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Last Updated: Jul 19, 2026

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12:02

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Published on: July 30, 2016

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Pharmacology in Pregnancy

Background:

  • Historically, progesterone was considered for pre-eclampsia prevention.
  • Current clinical practice does not utilize progestogens for this purpose.
  • Assessing the evidence on progesterone's benefits and harms remains relevant.

Purpose of the Study:

  • To evaluate the efficacy of progesterone in preventing pre-eclampsia and its complications during pregnancy.

Main Methods:

  • Searched major databases including Cochrane Pregnancy and Childbirth Group's Trials Register, Cochrane Central Register of Controlled Trials, and EMBASE.
  • Included randomized controlled trials comparing progesterone or progestogens with placebo or no treatment during pregnancy.
  • Two independent reviewers assessed study eligibility and extracted data.

Main Results:

  • Two trials with 296 women, of uncertain quality, were included.
  • Insufficient evidence exists to show differences in pre-eclampsia risk, infant mortality, preterm birth, or congenital defects.
  • No cases of female infant masculinization were reported.

Conclusions:

  • Reliable conclusions regarding progesterone's effectiveness in preventing pre-eclampsia cannot be drawn due to insufficient evidence.
  • Progesterone is not recommended for pre-eclampsia prevention in current clinical practice.
  • Further trials are unlikely to be a priority without new hypotheses on progesterone's role.