Progesterone shots, also known as 17 alpha-hydroxyprogesterone caproate (17P) or Makena, are prescribed to pregnant individuals to help prevent preterm birth. These injections are recommended for those with a history of preterm delivery. The goal of these shots is to support the pregnancy and reduce the likelihood of early labor, which can lead to various health challenges for the baby.
The Role of Progesterone in Pregnancy
Progesterone, a natural hormone, plays a role in maintaining a healthy pregnancy. It helps prepare the uterine lining for a fertilized egg to attach and supports its growth. This hormone also helps maintain a calm uterine environment by limiting contractions.
During pregnancy, progesterone levels naturally increase, helping prevent ovulation and premature contractions. Insufficient progesterone can be associated with complications such as miscarriage or preterm labor. For individuals with a history of preterm birth or a shortened cervix, progesterone supplementation can help reduce the risk of another preterm delivery.
Immediate Actions After a Missed Shot
If a progesterone shot is missed, contacting a healthcare provider immediately is the important step. They can provide specific guidance tailored to the individual’s situation. It is advised not to administer a double dose without direct medical advice.
Open communication with the medical team allows them to assess the situation, advise on the timing of the next dose, and determine if any additional monitoring or adjustments to the care plan are necessary. Pharmacists can also be a valuable resource if the primary healthcare provider is unavailable. While missing one dose may not always lead to immediate complications, seeking prompt medical advice is recommended.
Understanding the Potential Risks
Missing a progesterone shot, particularly for individuals with a history of preterm birth, may increase the risk of preterm labor or delivery. Progesterone helps maintain uterine relaxation, and a disruption in its consistent levels may reduce this effect. Preterm birth can lead to various health issues for newborns, including breathing problems, feeding difficulties, and developmental delays.
Individuals should be aware of symptoms that could indicate preterm labor after a missed dose. These can include contractions, abdominal cramping, pelvic pressure, a persistent backache, changes in vaginal discharge, or a leakage of fluid. While one missed dose may not automatically result in complications, it warrants immediate medical consultation to assess the situation and determine if any increased monitoring is needed.