The long‐term effect of prenatal progesterone treatment on child development, behaviour and health: a systematic review Article Swipe
NE Simons
,
Maureen Leeuw
,
Janneke van ’t Hooft
,
Jacqueline Limpens
,
Tessa J. Roseboom
,
Martijn A. Oudijk
,
Eva Pajkrt
,
MJJ Finken
,
RC Painter
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/1471-0528.16582
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/1471-0528.16582
Background Progesterone is widely used in prenatal care. However, long‐term effects of prenatal progesterone treatment on child development are unclear. Objectives To evaluate long‐term outcomes in children after prenatal progesterone treatment. Search strategy MEDLINE, Embase and Cochrane Central Register of Controlled Trials from inception to 24 May 2020. Selection criteria Randomised controlled trials (RCTs) reporting outcomes in children born to women who received progesterone treatment (compared with placebo or another intervention) during any trimester in pregnancy. Data collection and analysis Two authors independently selected and extracted data. We used the Cochrane Risk of Bias tool for randomised trials and Quality In Prognosis Studies. Main results Of 388 papers, we included seven articles based on five RCTs, comprising 4222 measurements of children aged 6 months to 8 years. All studies compared progesterone to placebo in second and/or third trimester for the prevention of preterm birth. Meta‐analysis (two studies, n = 890 children) showed no difference in neurodevelopment as assessed by the Bayley‐III Cognitive Composite score at 2 years between children exposed to progesterone versus placebo (Standardised Mean Difference −0.04, 95% Confidence Interval −0.26 to 0.19), I 2 = 22%. Heterogeneity prohibited additional meta‐analyses. Other long‐term outcomes showed no differences. Conclusions Our systematic review comprising a multitude of developmental measurements with a broad age range did not find evidence of benefit or harm in offspring prenatally exposed to progesterone treatment for the prevention of preterm birth. We identified an urgent need for follow‐up studies of prenatal progesterone administration in early pregnancy and effects in offspring beyond early childhood. Tweetable abstract Progesterone to prevent preterm birth: no effect on child development. Outcomes after first trimester progesterone are unclear.
Related Topics
Concepts
Medicine
Pregnancy
Placebo
Prenatal care
Randomized controlled trial
Obstetrics
Confidence interval
Offspring
Meta-analysis
Pediatrics
Relative risk
Bayley Scales of Infant Development
Internal medicine
Psychiatry
Population
Cognition
Psychomotor learning
Alternative medicine
Genetics
Biology
Environmental health
Pathology
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1111/1471-0528.16582
- OA Status
- green
- Cited By
- 21
- References
- 57
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3096008303
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3096008303Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/1471-0528.16582Digital Object Identifier
- Title
-
The long‐term effect of prenatal progesterone treatment on child development, behaviour and health: a systematic reviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
-
2020-10-28Full publication date if available
- Authors
-
NE Simons, Maureen Leeuw, Janneke van ’t Hooft, Jacqueline Limpens, Tessa J. Roseboom, Martijn A. Oudijk, Eva Pajkrt, MJJ Finken, RC PainterList of authors in order
- Landing page
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https://doi.org/10.1111/1471-0528.16582Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/8246867Direct OA link when available
- Concepts
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Medicine, Pregnancy, Placebo, Prenatal care, Randomized controlled trial, Obstetrics, Confidence interval, Offspring, Meta-analysis, Pediatrics, Relative risk, Bayley Scales of Infant Development, Internal medicine, Psychiatry, Population, Cognition, Psychomotor learning, Alternative medicine, Genetics, Biology, Environmental health, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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21Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 5, 2023: 3, 2022: 2, 2021: 6Per-year citation counts (last 5 years)
- References (count)
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57Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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