Prenatal progesterone exposure may not be beneficial or harmful to offspring: Study
Progesterone is a crucial hormone in the establishment and maintenance of pregnancy . In early pregnancy it is produced from corpus luteum enabling survival of embryo suppressing the immune system. Later in pregnancy it is produced by the placenta , causing smooth muscle relaxation thereby providing quiescence.
Due to progesterone's potentially beneficial characteristics, its administration (as natural progesterone or synthetic 17-alpha hydroxyprogesterone caproate (17-OHPC)) has been broadly employed in reproductive medicine and obstetrics: as luteal phase support after assisted reproductive technologies, as a strategy for (recurrent) miscarriage prevention or treatment and for preterm birth prevention .
Endogenous and exogenous progestins are able to penetrate the blood-brain barrier and enter the fetal brain.
In the study done by Noor et al as a systematic review and meta-analysis, "there was no evidence seen that progesterone treatment for preterm birth prevention in pregnancy caused alterations in child outcomes at age six months to eight years."
Neurodevelopmental impairments are common after preterm birth. Even though there is still considerable heterogeneity between progesterone trials, a large recent study suggested "a reduction of preterm birth after progesterone in singleton pregnancies at high risk for preterm birth".
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