Pregnancy outcomes of adolescents enrolled in a CenteringPregnancy program

Grady, Mary; Bloom, Kathaleen C.

doi:10.1016/j.jmwh.2004.05.009

Cited by 156 publications

(181 citation statements)

References 29 publications

Supporting

Mentioning

163

Contrasting

Unclassified

Order By: Relevance

“…Estudos sobre adolescentes primíparas mostraram percentuais de prevalência de prematuridade variando de 14,3 a 24,3% 11,12 . Outras pesquisas apontaram incidências de 17% de parto pré-termo entre puérperas com idade inferior a 16 anos, contra 9% entre aquelas com idade igual ou superior a 16 anos 10 .…”

Section: Discussionunclassified

Prematuridade e baixo peso entre recém-nascidos de adolescentes primíparas

Rocha¹,

Souza²,

Guazzelli³

et al. 2006

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

ResumoObjetivos: comparar a incidência de partos pré-termos e de recém-nascidos de baixo peso entre adolescentes primíparas de duas faixas etárias. Métodos: estudo clínico, comparativo e transversal, cuja amostra é composta por um universo de 522 adolescentes primíparas, cujos partos ocorreram com idade gestacional entre 25 e 42 semanas. Tais adolescentes foram divididas e avaliadas em dois grupos, de acordo com a faixa etária -Gprec: de 10 a 15 anos completos (n=104); Gtard: de 16 a 19 anos completos (n=418). Os dados da pesquisa foram obtidos por meio de entrevista individualizada, sigilosa e ética, no puerpério imediato, e mediante questionário escrito, composto por perguntas em relação ao tempo de gestação em semanas completas e ao peso do recém-nascido. A idade gestacional foi calculada no dia do parto, de acordo com a data da última menstruação confi ável, sendo ainda confi rmada pela ultra-sonografi a mais precoce, de até 20 semanas, ou pelo índice de Capurro do recém-nascido, quando na dúvida dos parâmetros anteriormente descritos. Considerou-se pré-termo todo recém-nascido com menos de 37 semanas completas de idade gestacional no parto. Consideraram-se de baixo peso ao nascimento todos os recém-nascidos com menos de 2.500 gramas, sendo que o peso dos neonatos foi aferido pelo serviço de neonatologia logo após o parto. Dessa forma, comparamos a taxa de prematuridade e o baixo peso ao nascimento entre recém-nascidos de adolescentes puérperas primíparas. Para a análise estatística, foi empregado o teste χ² e, para as diferenças localizadas, teste da partição do χ². Adotou-se o nível de signifi cância de 0,05 (alfa=5%), de forma que níveis descritivos (p) inferiores a esse valor foram considerados signifi cantes. Resultados: a taxa de prematuridade não foi diferente entre os grupos da pesquisa (5,8 e 2,6%). A incidência de baixo peso ao nascimento no Gprec (13,5%) foi signifi cativamente maior em relação ao Gtard (3,1%). Conclusões: o grupo de adolescentes primíparas na faixa etária mais jovem (inferior a 15 anos) revelou-se de risco signifi cantemente maior para a ocorrência de RN de baixo peso. Não se verifi cou diferença signifi cante na incidência de partos pré-termos entre os grupos estudados. PALAVRA-CHAVE:Gravidez na adolescência; Prematuro; Recém-nascido de baixo peso Abstract Purpose: to compare the incidence of preterm deliveries, and of low birth weight newborns, among primiparous adolescents, from two age groups.Methods: this is a comparative, cross-sectional clinical study composed of 522 primiparous adolescents whose deliveries occurred at the gestational age of 25 to 42 weeks. The adolescents were divided into 2 groups according to their age; Gprec: from 10 to 15 complete years old (n=104); Gtard: from 16 to 19 complete years old (n=418). The research data were obtained by an individualized, confi dential and ethical interview, soon after delivery; and by a written questionnaire with questions about the gestational age in complete weeks, and about the newborns birth weight. The gestational ag...

show abstract

Section: Discussionunclassified

Prematuridade e baixo peso entre recém-nascidos de adolescentes primíparas

Rocha¹,

Souza²,

Guazzelli³

et al. 2006

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

show abstract

“…Diabetologia 1983;25:238-241. 5 Fraser RB, Ford FA, Lawrence GF. Insulin sensitivity in third trimester pregnancy.…”

Section: A16 Dietary Advice In Pregnancy For Preventing Gestational Dmentioning

confidence: 99%

“…1 The literature suggests significant numbers of Australians are using CAM as a health care option, with women the primary users. 2,3 While the international evidence demonstrates the use of CAM to alleviate reproductive and obstetric problems, 4,5 there are many unknowns regarding CAM use to enhance fertility, in particular the safety and efficacy of using CAM and the implications for maternal and infant health. The aim of this study was to develop an understanding of why women are combining the use of CAM and ART to enhance their fertility.…”

Section: A18 Why Do Women Combine the Use Of Assisted Reproductive Tementioning

confidence: 99%

“…Early studies of CenteringPregnancy (USA) demonstrate improvements in rates of prematurity and low birth weight [3,4]. Centering Pregnancy is finding strong acceptance by professionals and women/couples involved [5]. Method: A descriptive pilot study was undertaken at two metropolitan hospitals in Sydney.…”

Section: Northeast Health Wangaratta Wangaratta Australiamentioning

confidence: 99%

See 1 more Smart Citation

Oral Abstracts

2008

J Paediatrics Child Health

View full text Add to dashboard Cite

Background:Following the encouraging results of randomised trials of induced hypothermia in neonatal encephalopathy it likely there will be a substantial increase in the utilisation of cooling for clinical purposes. Although therapeutic hypothermia has proven to be remarkably safe, some studies have suggested that hypothermia may be associated with altered requirements for volume or inotropes. Methods: Data from the multi-center CoolCap trial of selective cerebral cooling were analysed with respect to changes in cardiovascular status and the use of volume or inotope support during cooling and rewarming. Monitoring data included continuous electrocardiograph, pulse oximetry and blood pressure was measured either via an indwelling catheter or by standard Doppler oscillometric methods. Heart rate; mean, diastolic and systolic arterial blood pressure; inotrope use; blood pressure support with volume; plus any cardiac arrhythmia were recorded at randomisation, hourly for the first 12 hours then 4 hourly until 76 hours after randomisation. Results: In 116 cooled and 118 control infants there were no differences in the overall rate of hypotension or severe hypotension but intriguing differences occurred in cardiovascular status and intervention during specific time periods. Both cooled and control infants demonstrated an initial modest upward trend in MAP followed by a steady decline. However, between 12 and 24 hours post randomisation there was an increase in the use of both volume and inotrope support seem in the cooled group (figure). Conclusions: Selective hypothermia although well tolerated is associated with increased use of inotrope and volume support that may be related to physician behaviour. Proportion of Patients Receiving Inotrope A2 CONSEQUENCES OF A PRENATAL ASPHYXIAL INSULT ON PREGNANCY OUTCOME, NEONATAL BEHAVIOUR AND BRAIN DEVELOPMENT IN SHEEPCabalag C, Baburamani A, Castillo-Melendez M, Hutton L, Walker DW Cerebral Palsy Research Group, Department of PhysiologyMonash University, Melbourne, Australia Email: carlos.cabalag@gmail.com Background: Cerebral palsy is a major consequence of prenatal hypoxia-ischemia. Animal models of prenatal brain injury generally do not include study of pregnancy outcomes. In this project we studied the postnatal recovery of lambs following in utero asphyxia induced by transient umbilical cord occlusion (UCO). Methods: Singleton fetal sheep underwent UCO (or sham UCO) for 10 mins at 132 days gestation. Cardiovascular and acid-base status was recorded from -1 to +24 h relative to the UCO. Ewes were then transferred to lambing pens until parturition. Two investigators were present at birthing to score lamb behaviour. A video record of lamb behaviour was made from birth to +24 h when a post-mortem examination was done and the brain obtained for immunocytochemical analysis.Results: UCO resulted in: 1) increased incidence of premature birth; 2) significant delay in attainment of key behavioral milestones (see table); 3) increased cell death, demyelination, and neuro-inflammat...

show abstract

“…We have previously reported the reduction of preterm birth and low birth weight in a program of group prenatal care (Centering Pregnancy) [13]. This model of care has been demonstrated in Randomized Control Trials (RCT) of having a reduction in preterm births and having increases in birth weights among participants of group care [14][15][16][17][18]. The Institute of Medicine recommends a multidisciplinary research agenda aimed at improving the prediction and prevention of preterm labor and better understanding the health and developmental problems to which preterm infants are more vulnerable [19].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

MOJWH

View full text Add to dashboard Cite

Objective: To calculate the cost savings of a program of group prenatal care (Centering Pregnancy) due to the reduction in preterm births and low birth weight among infants of mothers who participated in the program. To compare the costs of the program with the costs of traditional care in terms of preterm birth and low birth rates. Methods:The outcomes of infants born to mothers receiving care either as traditional prenatal care or group (Centering Pregnancy) was compared. Data was obtained from chart abstraction and information previously published. Published costs of care for preterm infants and low birth weight infants were used to compare cost among models of care (traditional vs. group). Results:The cost for intensive neonatal care (NICU) is significantly lower for infants born of women receiving Group care (Centering Pregnancy) because there were less infants requiring this service. We calculated savings of approximately $1.4 million due to the reduction in preterm births. In addition, savings of approximately $1.8 to $3.5 million were calculated due to a reduction of births less than 32 weeks. Additional savings of approximately $3.7 million were related to the reduction of infants born with weights less than 1,500 gm. Conclusion:A program of Group Prenatal care (Centering Pregnancy) demonstrated a reduction in the rate of preterm births and low birth weight infants thus reducing the costs of NICU care and extended hospitalization.

show abstract

Pregnancy outcomes of adolescents enrolled in a CenteringPregnancy program

Cited by 156 publications

References 29 publications

Prematuridade e baixo peso entre recém-nascidos de adolescentes primíparas

Prematuridade e baixo peso entre recém-nascidos de adolescentes primíparas

Oral Abstracts

Untitled

Contact Info

Product

Resources

About