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1
Progesterone to prevent preterm birth in twin gestations: what is the next step forward?孕酮预防双胎妊娠早产：下一步该如何推进？
BJOG. 2013 Jan;120(1):1-4. doi: 10.1111/1471-0528.12019.
2
Preterm birth prevention in twin pregnancies with progesterone, pessary, or cerclage: a systematic review and meta-analysis.孕激素、阴道栓剂或宫颈环扎术预防双胎妊娠早产：系统评价和荟萃分析。
BJOG. 2017 Jul;124(8):1163-1173. doi: 10.1111/1471-0528.14513. Epub 2017 Feb 8.
3
Increased doses of vaginal progesterone for the prevention of preterm birth in twin pregnancies: a randomised controlled double-blind multicentre trial.阴道用黄体酮增加剂量以预防双胎妊娠早产：一项随机对照双盲多中心试验。
BJOG. 2013 Jan;120(1):50-7. doi: 10.1111/j.1471-0528.2012.03448.x. Epub 2012 Aug 13.
4
Vaginal progesterone in women with twin gestations complicated by short cervix: a retrospective cohort study.双胎妊娠合并宫颈短的女性使用阴道孕激素：一项回顾性队列研究。
BJOG. 2015 Apr;122(5):712-8. doi: 10.1111/1471-0528.13188. Epub 2014 Nov 27.
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The effect of early administration of rectal progesterone in IVF/ICSI twin pregnancies on the preterm birth rate: a randomized trial.直肠用黄体酮在 IVF/ICSI 双胎妊娠中早期应用对早产率的影响：一项随机试验。
BMC Pregnancy Childbirth. 2020 Jun 9;20(1):351. doi: 10.1186/s12884-020-03033-4.
6
Prevention of preterm delivery in twin gestations (PREDICT): a multicenter, randomized, placebo-controlled trial on the effect of vaginal micronized progesterone.预防双胎妊娠早产（PREDICT）：阴道用米索前列醇预防早产的多中心随机安慰剂对照试验
Ultrasound Obstet Gynecol. 2011 Sep;38(3):272-80. doi: 10.1002/uog.9093.
7
Vaginal progesterone for the prevention of preterm birth in twin gestations: a randomized placebo-controlled double-blind study.阴道用黄体酮预防双胎妊娠早产：一项随机安慰剂对照双盲研究。
Am J Obstet Gynecol. 2015 Jul;213(1):82.e1-82.e9. doi: 10.1016/j.ajog.2015.02.021. Epub 2015 Feb 27.
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Plasma progesterone, estradiol, and unconjugated estriol concentrations in twin pregnancies: Relation with cervical length and preterm delivery.双胎妊娠孕妇血浆孕酮、雌二醇和非结合雌三醇浓度与宫颈长度及早产的关系。
Acta Obstet Gynecol Scand. 2019 Jan;98(1):86-94. doi: 10.1111/aogs.13464. Epub 2018 Oct 21.
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Efficiency of cervical cerclage and pessary in addition to vaginal progesterone to prevent preterm birth in twin pregnancies: a case-control study from a tertiary center.宫颈环扎术联合子宫托及阴道用孕激素预防双胎妊娠早产的有效性：一项来自三级中心的病例对照研究
Turk J Med Sci. 2025 Jan 22;55(1):271-276. doi: 10.55730/1300-0144.5968. eCollection 2025.
10
Pessary Compared With Vaginal Progesterone for the Prevention of Preterm Birth in Women With Twin Pregnancies and Cervical Length Less Than 38 mm: A Randomized Controlled Trial.双胎妊娠宫颈长度＜38mm 孕妇应用宫颈环扎术与阴道孕激素预防早产的随机对照研究。
Obstet Gynecol. 2019 Mar;133(3):459-467. doi: 10.1097/AOG.0000000000003136.

引用本文的文献

1
Use of metabolomics for the identification and validation of clinical biomarkers for preterm birth: Preterm SAMBA.代谢组学在早产临床生物标志物识别与验证中的应用：早产SAMBA研究
BMC Pregnancy Childbirth. 2016 Aug 8;16(1):212. doi: 10.1186/s12884-016-1006-9.
2
Do serial measurements of cervical length improve the prediction of preterm birth in asymptomatic women with twin gestations?对双胎妊娠无症状女性进行宫颈长度的系列测量能否改善早产预测？
Am J Obstet Gynecol. 2016 Nov;215(5):616.e1-616.e14. doi: 10.1016/j.ajog.2016.06.034. Epub 2016 Jun 27.
3
Serial cervical length determination in twin pregnancies reveals 4 distinct patterns with prognostic significance for preterm birth.双胎妊娠中宫颈长度的连续测定揭示了4种不同模式，对早产具有预后意义。
Am J Obstet Gynecol. 2016 Oct;215(4):476.e1-476.e11. doi: 10.1016/j.ajog.2016.05.018. Epub 2016 May 17.
4
Vaginal progesterone to prevent preterm birth in pregnant women with a sonographic short cervix: clinical and public health implications.超声检查发现宫颈短的孕妇使用阴道孕酮预防早产：临床及公共卫生意义
Am J Obstet Gynecol. 2016 Feb;214(2):235-242. doi: 10.1016/j.ajog.2015.09.102. Epub 2015 Oct 9.
5
Effectiveness of progestogens to improve perinatal outcome in twin pregnancies: an individual participant data meta-analysis.孕激素对改善双胎妊娠围生结局的有效性：一项个体参与者数据荟萃分析。
BJOG. 2015 Jan;122(1):27-37. doi: 10.1111/1471-0528.13032. Epub 2014 Aug 22.
6
Progesterone to prevent spontaneous preterm birth.孕酮预防自发性早产。
Semin Fetal Neonatal Med. 2014 Feb;19(1):15-26. doi: 10.1016/j.siny.2013.10.004. Epub 2013 Dec 5.
7
A blueprint for the prevention of preterm birth: vaginal progesterone in women with a short cervix.预防早产的蓝图：短宫颈孕妇的阴道用黄体酮。
J Perinat Med. 2013 Jan;41(1):27-44. doi: 10.1515/jpm-2012-0272.

本文引用的文献

1
The frequency and clinical significance of intra-amniotic inflammation in twin pregnancies with preterm labor and intact membranes.胎膜完整的早产双胎妊娠羊膜腔内炎症的发生率及临床意义。
J Matern Fetal Neonatal Med. 2019 Feb;32(4):527-541. doi: 10.1080/14767058.2017.1384460. Epub 2017 Oct 11.
2
Vaginal progesterone to prevent preterm birth in multiple pregnancy: a randomized controlled trial.阴道用黄体酮预防多胎妊娠早产：一项随机对照试验
J Perinat Med. 2012 Nov;40(6):593-9. doi: 10.1515/jpm-2012-0057.
3
Increased doses of vaginal progesterone for the prevention of preterm birth in twin pregnancies: a randomised controlled double-blind multicentre trial.阴道用黄体酮增加剂量以预防双胎妊娠早产：一项随机对照双盲多中心试验。
BJOG. 2013 Jan;120(1):50-7. doi: 10.1111/j.1471-0528.2012.03448.x. Epub 2012 Aug 13.
4
Vaginal progesterone in women with an asymptomatic sonographic short cervix in the midtrimester decreases preterm delivery and neonatal morbidity: a systematic review and metaanalysis of individual patient data.中孕期无症状超声宫颈短的妇女应用阴道孕酮可降低早产和新生儿发病率：一项个体患者数据的系统评价和荟萃分析。
Am J Obstet Gynecol. 2012 Feb;206(2):124.e1-19. doi: 10.1016/j.ajog.2011.12.003. Epub 2011 Dec 11.
5
Prevention of preterm delivery in twin gestations (PREDICT): a multicenter, randomized, placebo-controlled trial on the effect of vaginal micronized progesterone.预防双胎妊娠早产（PREDICT）：阴道用米索前列醇预防早产的多中心随机安慰剂对照试验
Ultrasound Obstet Gynecol. 2011 Sep;38(3):272-80. doi: 10.1002/uog.9093.
6
Vaginal progesterone reduces the rate of preterm birth in women with a sonographic short cervix: a multicenter, randomized, double-blind, placebo-controlled trial.阴道用孕酮降低超声检查宫颈短的孕妇早产率：一项多中心、随机、双盲、安慰剂对照试验。
Ultrasound Obstet Gynecol. 2011 Jul;38(1):18-31. doi: 10.1002/uog.9017. Epub 2011 Jun 15.
7
Uterine stretch and progesterone action.子宫拉伸和孕激素作用。
J Clin Endocrinol Metab. 2011 Jun;96(6):E1013-24. doi: 10.1210/jc.2010-2310. Epub 2011 Mar 30.
8
17-hydroxyprogesterone caproate for twin pregnancy: a double-blind, randomized clinical trial.己酸羟孕酮用于双胎妊娠：一项双盲、随机临床试验。
Am J Obstet Gynecol. 2011 Mar;204(3):221.e1-8. doi: 10.1016/j.ajog.2010.12.042.
9
Failure of 17-hydroxyprogesterone to reduce neonatal morbidity or prolong triplet pregnancy: a double-blind, randomized clinical trial.17-羟孕酮未能降低新生儿发病率或延长三胞胎妊娠：一项双盲、随机临床试验。
Am J Obstet Gynecol. 2010 Sep;203(3):248.e1-9. doi: 10.1016/j.ajog.2010.06.016.
10
Transvaginal sonographic cervical length for the prediction of spontaneous preterm birth in twin pregnancies: a systematic review and metaanalysis.经阴道超声测量宫颈长度预测双胎妊娠自发性早产：系统评价和荟萃分析。
Am J Obstet Gynecol. 2010 Aug;203(2):128.e1-12. doi: 10.1016/j.ajog.2010.02.064. Epub 2010 Jun 23.

Progesterone to prevent preterm birth in twin gestations: what is the next step forward?

作者信息

Romero R

机构信息

Perinatology Research Branch, NICHD/NIH/DHHS, Bethesda, MD, USA.

出版信息

BJOG. 2013 Jan;120(1):1-4. doi: 10.1111/1471-0528.12019.

DOI:10.1111/1471-0528.12019
PMID:23237263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3893915/
Abstract
摘要