Why This FREE Intervention is Better Than Progesterone Cream at Preventing Pre Term Births

A few weeks back, the birth world was all a buzz at the price gouging the K-V Pharmaceutical Company implemented when it locked in the right to exclusively manufacture progesterone for use in preventing pre term labor. 

Prior to this move, pregnant women could buy progesterone from a componding pharmacy for $300. 

It's now $29,000.  You read right. 

Too bad that locking in these rights is going to prove and utter waste of time and money for this company.

According to Henci Goer on Science and Sensibility:

….In that trial, progesterone did not reduce the rate of preterm birth. The rate remained what it had been in similar women before the trial began. Instead, the rate in the control group was much higher than before, and that’s what created the difference between groups. Moreover, the rationale for progesterone is quieting the uterus, but it didn’t do that either. Just as many women in the progesterone group as the placebo group needed treatment for bouts of preterm contractions. Furthermore, another, bigger trial reported no difference in preterm birth rates. So much for “effective.” As I also pointed out in the earlier post, we have no data on the long-term effect of exposing fetuses to weeks of excessive levels of a sex hormone.

What does work at preventing preterm labor?

GROUP PRENATAL CARE!

What?  What does that mean? 

A randomized controlled trial of group prenatal care by midwives was published in 2007 in Obstetrics and Gynecology—in other words, hardly buried in an obscure journal….The preterm birth rate was 14% in the standard care group versus 10% in the group prenatal care group, a one-third risk reduction after controlling for factors that increase risk of adverse perinatal outcomes. In African-American women, the reduction was even more striking: 16% versus 10%. Nothing, nothing anyone ever has tried has reduced preterm birth by a third in a general population.

Wow.  A simple, free solution (in addition to more sunlight as I've previously reported) in preventing preterm labor.  But, why would this work?

preterm delivery is strongly associated with chronic maternal stress. Group prenatal care builds community and helps women feel more competent and confident, as shown by the trial’s other positive outcomes: women in group sessions were less likely to have suboptimal prenatal care, knew more about pregnancy, felt better prepared for labor, were more likely to initiate breastfeeding, and were more satisfied with their prenatal care. With social interventions, everyone wins, not just women spared a preterm birth.

To learn more about preventing pre term labor, please visit Birthologie.com

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