A comparative study of human chorionic gonadotropin, placebo, and bed rest for women with early threatened abortion

International Journal of Fertility and Menopausal Studies, 38(3), 160-165

Source

Abstract

Objective

To compare the effect of hCG therapy with placebo or bed rest in women with threatened abortion.

Design

Random assignment, double-blind.

Setting

Community hospitals.

PATIENTS AND

Interventions

Sixty-one women with viable pregnancies under 8 weeks' gestation on admission to hospital were randomly allocated to receive injections of hCG or placebo, or were advised to rest in bed.

Main Outcome Measures

Abortion vs. continuation of pregnancy at 16 weeks' gestation.

Results

Thirty-one aborted: 6/20 on hCG, 10/21 on placebo, 15/20 on bed rest. hCG vs. bed rest, P < .01; placebo vs. bed rest, hCG vs. placebo--not significant. Plasma progesterone: continuing pregnancy > abortion, P < .01; continued with hCG vs. aborted on placebo, P < .001; continued with hCG vs. aborted with bed rest, P < .001. No significant differences in pregnancy/birth complications or infants' birth weight. Female/male ratio was 2:1.

Conclusions

hCG is significantly better than bed rest.

Topics

threatened abortion hCG treatment randomized trial, human chorionic gonadotropin early pregnancy loss prevention, hCG versus bed rest threatened miscarriage, Harrison threatened abortion hCG placebo bed rest, first trimester threatened abortion progesterone levels outcome, hCG therapy viable pregnancy under 8 weeks, early pregnancy bleeding hCG injection treatment efficacy, plasma progesterone predictor miscarriage outcome, double blind randomized trial threatened abortion intervention, bed rest ineffective threatened miscarriage

Cite this article

Harrison, R. F. (1993). A comparative study of human chorionic gonadotropin, placebo, and bed rest for women with early threatened abortion. *International journal of fertility and menopausal studies*, *38*(3), 160-165.

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