Uterine Inertia

The most effective intervention to prevent preterm birth is the administration of a natural hormone, progesterone, in patients at risk for premature delivery. Two categories of patients have been eligible for this treatment: those with a short cervix and those with a previous preterm birth. But new research indicates that progesterone is not effective in reducing the rate of preterm birth in women with a prior history of preterm birth. The most effective intervention to prevent preterm birth is the administration of a natural hormone, progesterone, in patients at risk for premature delivery. Two categories of patients have been eligible for this treatment: those with a short cervix and those with a previous preterm birth. But research published this week in the American Journal of Obstetrics and Gynecology by researchers of the Perinatology Research Branch at the Wayne State University School of Medicine indicates that progesterone is not effective in reducing the rate of preterm birth in women with a history of such birth. In the article, "Does vaginal progesterone prevent recurrent preterm birth in women with a singleton gestation and a history of spontaneous preterm birth? Evidence from a systematic review and meta-analysis," the researchers call for revision of American College of Obstetricians and Gynecologists, and Society for Maternal-Fetal Medicine guidelines that recommend the use of progesterone in women with a history of spontaneous pre-term birth. "We have advocated that vaginal progesterone reduces the rate of preterm birth in women with a short cervix. This evidence is solid and derived from multiple studies including randomized clinical trials, meta-analyses and implementation research," said Roberto Romero, M.D., DMedSci, chief of the Eunice Kennedy Shriver National Institute of Child Health and Human Development's Perinatology Research Branch and Professor of Molecular Obstetrics and Genetics at the Wayne State University School of Medicine. "Some people believe that vaginal progesterone is effective not only in women with a short cervix but also in patients with a prior history of preterm birth. We have completed a systematic review and meta-analysis that shows that this is not the case." The effective use of vaginal progesterone in women identified with a short cervix via sonograph to prevent pre-term birth was identified and developed by the PRB in 2010. But extrapolating these findings to patients with a prior history of preterm birth is not correct, the latest findings show. Women with a history of spontaneous preterm birth have a 2.5- to four-fold increased risk of subsequent such issues compared to women with no history of pre-term birth. The American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine recommend the use of vaginal progesterone or 17α-hydroxyprogesterone caproate for all pregnant women with a history of pre-term birth. "We believe it is important to understand the limitations of a successful strategy to avoid overtreatment. We advocate for universal screening of cervical length and the identification of patients who may benefit from a specific intervention. In other words, individualized medicine and not one size fits all," said Dr. Romero, who published the findings with Agustin Conde-Agudelo, M.D., M.P.H., Ph.D., adjunct professor of Obstetrics and Gynecology, and head of the Unit of Perinatal Epidemiology, Systematic Reviews and Meta-analyses. The team reviewed findings from 10 randomized controlled trials that compared vaginal progesterone to placebo or no treatment in asymptomatic women with a singleton gestation and a history of spontaneous preterm birth. They found no convincing evidence that the use of progesterone prevented pre-term birth in these women. Preterm labor, Dr. Romero explained, is a syndrome associated with multiple mechanisms of disease, including infection and/or inflammation, decidual hemorrhage and vascular disease, uterine overdistention, cervical disease, disruption of maternal-fetal tolerance, maternal stress and decline in progesterone action. The syndromic nature of preterm labor explains why a single method of intervention does not prevent all or even predict most cases of preterm birth, he said. For more information, please see this video:

Oct. 11, 2021 11:30 UTC Postpartum hemorrhage is one of the most common complications of birthi JERSEY CITY, N.J.--(BUSINESS WIRE)-- Organon (NYSE: OGN), a global women’s health company, today announced clearance by the U.S. Food and Drug Administration (FDA) of the Special 510(k) for technological updates to the Jada® System, intended to provide control and treatment of abnormal postpartum uterine bleeding or hemorrhage when conservative management is warranted. The incidence of postpartum hemorrhage due to uterine atony has increased significantly in the United States during the past decade.ii The product updates include a new kit configuration with updated packaging, as well as a streamlined design to help improve the device’s ease of use. “More options in the area of maternal health for healthcare providers and women are urgently needed, which was what motivated Organon’s early acquisition of JADA,” said Kevin Ali, Chief Executive Officer, Organon. “Postpartum hemorrhage continues to be one of the most common complications of childbirth and this recent FDA clearance supports our ability to continue providing healthcare providers this important option for treating women with abnormal postpartum bleeding.” JADA became part of the Organon women’s health portfolio in June 2021, as part of the company’s first acquisition, continuing to build upon the company’s vision of a better and healthier every day for every woman around the world. Organon estimates this updated version of the Jada System should be available to customers in the United States in January 2022. About the Jada® System JADA is designed to apply low level vacuum to encourage normal contraction of the uterus to provide control and treatment of abnormal uterine bleeding or hemorrhage after childbirth. JADA was first cleared by the FDA in August 2020 based on results from the pivotal PEARLE IDE Study.iii The study showed that JADA helped control abnormal postpartum uterine bleeding and hemorrhage when conservative management is warranted with an acceptably demonstrated safety profile. Please refer to the Jada System Instructions for Use for indications, warnings, precautions, and contraindications at tinyurl.com/JADAIFU2. About Organon Organon (NYSE: OGN) is a global healthcare company formed through a spin-off from Merck, (NYSE: MRK) known as MSD outside of the United States and Canada, to focus on improving the health of women throughout their lives. Here for her health, the company has a portfolio of more than 60 medicines and products across a range of therapeutic areas. Led by the reproductive health portfolio coupled with an expanding biosimilars business and stable franchise of established medicines, Organon’s products produce strong cash flows that will support investments in future growth opportunities in women’s health, including business development like recently acquired Alydia Health, a medical device company focused on postpartum hemorrhage. In addition, Organon is pursuing opportunities to collaborate with biopharmaceutical innovators looking to commercialize their products by leveraging its scale and presence in fast growing international markets. Organon has a global footprint with significant scale and geographic reach, world-class commercial capabilities, and approximately 9,000 employees with headquarters located in Jersey City, New Jersey. For more information, visit and connect with us on LinkedIn and Instagram. Forward-Looking Statement of Organon Except for historical information herein, this news release includes “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995, including, but not limited to, statements about management’s expectations about the Jada® System and the recent technical updates, Organon’s acquisition of Alydia Health, and Organon’s business prospects. Forward-looking statements may be identified by words such as “expects,” “intends,” “anticipates,” “plans,” “believes,” “seeks,” “estimates,” “will” or words of similar meaning. These statements are based upon the current beliefs and expectations of the company’s management and are subject to significant risks and uncertainties. If underlying assumptions prove inaccurate or risks or uncertainties materialize, actual results may differ materially from those set forth in the forward-looking statements. Risks and uncertainties include, but are not limited to, general industry conditions and competition; general economic factors, including interest rate and currency exchange rate fluctuations; the impact of the ongoing COVID-19 pandemic and emergence of variant strains; the impact of pharmaceutical industry regulation and health care legislation in the United States and internationally; global trends toward health care cost containment; technological advances; new products and patents attained by competitors; challenges inherent in new product development, including obtaining regulatory approval; the company’s ability to accurately predict its future financial results and performance; the company’s ability to accurately predict future market conditions; manufacturing difficulties or delays; financial instability of international economies and sovereign risk; difficulties developing and sustaining relationships with commercial counterparties; dependence on the effectiveness of the company’s patents and other protections for innovative products; and the exposure to litigation, including patent litigation, and/or regulatory actions. The company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise. Additional factors that could cause results to differ materially from those described in the forward-looking statements can be found in the company’s filings with the Securities and Exchange Commission (SEC), including its registration statement on Form 10, available at the SEC’s Internet site ( ). ________________________ i Widmer M et al. "Heat-Stable Carbetocin versus Oxytocin to Prevent Hemorrhage after Vaginal Birth." N Engl J Med 2018; 379:743-752 ii Bateman, Brian T et al. “Patterns of Second-Line Uterotonic Use in a Large Sample of Hospitalizations for Childbirth in the United States: 2007–2011.”Anesthesia & Analgesia. 119(6):1344-1349, December 2014 iii D'Alton ME,et al.. National Library of Medicine. (September 17, 2017-March 25, 2020). Safety and Effectiveness of the Jada System in Treating Primary Postpartum Hemorrhage (PEARLE). Identifier: NCT02883673.