Preterm birth is the leading cause of neonatal mortality and morbidity, with more than one-third of deaths during the first year of life being attributed to preterm related causes. The associated emotional and economic costs to families and the economic burdens to hospitals and payers are overwhelming.
Oklahoma Progesterone Project
- The prophylactic administration of progesterone to women with a singleton pregnancy and a history of a spontaneous preterm birth has been shown to reduce the rate of recurrence. ACOG recommends the use of progesterone supplementation starting at 16-20 weeks to prevent recurrent preterm birth for these women. ACOG also recommends vaginal progesterone for asymptomatic women with a singleton gestation without a prior preterm birth with an incidentally identified cervical length of < 20 mm at ≤ 24 weeks gestation.
- OHCA Progesterone Guidelines v1.0 9-16
Cervical Length Measurement
- The Office of Perinatal Quality Improvement received grant funding from the March of Dimes for appropriate Oklahoma providers. The March of Dimes funding supported the training of 71 Oklahoma clinicians at no cost. Many thanks to the March of Dimes for their generous support. You can still sign up for the Perinatal Quality Foundation’s Cervical Length Education and Review (CLEAR) program by clicking here but you will be required to pay the full price for the course.
Makena® and Vaginal Progesterone Coverage: OHCA Provider Letter (includes Progesterone algorithm and Progesterone Coverage Chart)
- OHCA Forms: PHARM 23 (prior authorization form)
March of Dimes Preterm Labor Assessment Toolkit has been discontinued.
Statement from the March of Dimes: The March of Dimes follows ACOG guidance. In the current form the PLAT is inconsistent with ACOG guidance concerning the use of fetal fibronectin. The PLAT has been removed from the MOD website and a plan is underway to conduct a review to determine if the PLAT can be revised to be consistent with ACOG Guidance or if it must be retired. As in all areas of health care we must modify our approaches as additional research and evidence become available.