Prevention of preterm birth in high-risk patients: The role of education and provider contact versus home uterine monitoring

Dyson, Donald C.; Crites, Yvonne; Ray, Deborah A.; Armstrong, Mary Anne

doi:10.1016/0002-9378(91)90510-x

Cited by 84 publications

(32 citation statements)

References 11 publications

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“…472 The review of home uterine activity monitoring included three trials (n = 618). [473][474][475] Further details of the review can be found in Appendix 6, Table 125. The overall quality of these studies, shown in Figure 143, was poor with only one trial considered to be of good quality.…”

Section: Home Uterine Monitoringmentioning

confidence: 99%

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

Honest

Ca²,

Durée³

et al. 2009

Health Technol Assess

189

146

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For primary prevention, an effective, affordable and safe intervention applied to all mothers without preceding testing is likely to be the most cost-effective approach in asymptomatic women in early pregnancy. For secondary prevention among women at risk of preterm labour in later pregnancy, a management strategy based on the results of testing is likely to be more cost-effective. Implementation of a treat-all strategy with simple interventions, such as fish oils, would be premature for asymptomatic women. Universal provision of high-quality ultrasound machines in labour wards is more strongly indicated for predicting spontaneous preterm birth among symptomatic women than direct management, although staffing issues and the feasibility and acceptability to mothers and health providers of such strategies need to be explored. Further research should include investigations of low-cost and effective tests and treatments to reduce and delay spontaneous preterm birth and reduce the risk of perinatal mortality arising from preterm birth.

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Section: Home Uterine Monitoringmentioning

confidence: 99%

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

Honest

Ca²,

Durée³

et al. 2009

Health Technol Assess

189

146

View full text Add to dashboard Cite

show abstract

“…4 Other studies also link a decrease in gestational age at delivery to increased NICU admission and length of stay. [8][9][10] In a study over a 10-year period of more than 8000 twin pairs, it was discovered that significantly higher perinatal morbidity and mortality rates were associated with delivery at r35 weeks' gestation. 10 Undoubtedly, prematurity is correlated to low birth weight, NICU admission and greater lengths of stay.…”

Section: Discussionmentioning

confidence: 99%

Indicated and Non-Indicated Preterm Delivery in Twin Gestations: Impact on Neonatal Outcome and Cost

Elliott

Istwan²,

Collins³

et al. 2004

J Perinatol

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OBJECTIVE:To identify the etiology and impact of preterm delivery in twin gestations. STUDY DESIGN:Twin gestations delivered at 33.0 to 36.9 weeks were identified in a perinatal database, and categorized by indication for delivery. Deliveries were identified as indicated, or non-indicated (discretionary). Neonatal outcomes were measured by birth weight, length of stay, NICU admission, and ventilator utilization. Data were divided and analyzed by indicated or discretionary delivery, and gestational age at delivery. RESULTS:Analyzed were 3252 twin gestations (6504 infants), with 78% having indicated delivery. Of the 22% with discretionary delivery, nearly 40% required NICU admission. With each advancing week of gestation, there was a significant decrease in incidence of NICU admission and nursery days. CONCLUSION:The majority of preterm deliveries were indicated, though 22% were discretionary. It is vital to consider neonatal morbidity and costs related to gestational age when choosing discretionary delivery.

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“…El reconocimiento por la paciente del aumento de la contractilidad propia del gemelar (32) y el aumento en los 3 días previos al parto prematuro (33,34) es útil en el manejo individual para decidir la hospitalización (35,36) y tiene buenos resultados prospectivos (37,38,39). Se utilizó el autocontrol materno dos veces por día que demostró contractilidad bajo 4/hora durante ocho semanas en caso 1 y diez semanas en caso 2; su incremento coincidió exactamente con el inicio del trabajo de parto.…”

Section: Discussionunclassified

Vía Del Nacimiento en Gemelar Monocoriónico Con Transfusión Intergemelar Y Terapia in Utero

2004

Rev. chil. obstet. ginecol.

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RESUMENEl propósito de la comunicación es revisar la vía del parto en embarazo gemelar complicado por Síndrome de Transfusión Gemelo-Gemelo (STGG) y por gemelo acardio con perfusión arterial reversa. La placentación del gemelar monocoriónico por sus anastomosis arteriales y venosas genera esas complicaciones que se asocian a una mortalidad cercana a 100% cuando no son tratadas en el período antenatal. Se describen dos casos de gemelar monocoriónico complicado, uno con STGG y otro, un acardio con perfusión reversa, ambos con diagnóstico ultrasónico precoz en primer trimestre y comienzo del segundo, que fueron exitosamente tratados in útero con coagulación láser sobre anastomosis vascular placentaria y sobre arteria umbilical pelviana obteniendo mejoría hemodinámica y recuperación de la funcionalidad placentaria. Se discuten aspectos generales del cuidado médico antenatal e intraparto del embarazo gemelar y específicamente del gemelar monocoriónico complicado. Se concluye que la terapia in útero fue exitosa además de mejorar el pronóstico puede favorecer la vía vaginal de parto.PALABRAS CLAVE: embarazo gemelar monocoriónico, anastomosis vasculares, terapia láser, parto vaginal SUMMARYThe aim of this communication is to review the way of delivering twin pregnancy complicated by either Twin to Twin Transfusion Syndrome (TTTS) or acardic twin with reverse arterial perfusion. The monochorionic placentae is characterised by superficial or deep vascular anastomosis which leads to the complications mentioned above, which are associated with almost 100% mortality when they are not treated antenatally. We describe two cases of severe TTTS and acardic twin with reverse arterial perfusion both diagnosed antenatally during the first and early second trimester of pregnancy on which laser treatment either on placental vascular anastomoses or pelvic single umbilical artery were done successfully. In addition of this we discuss some clinical aspects of prevention of premature delivery, antenatal and intrapartum medical care for twin pregnancy in general and specifically for complicated monochorionic twin pregnancy. We conclude that a successful fetal therapy improves pregnancy prognosis and makes possible vaginal delivery.

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Prevention of preterm birth in high-risk patients: The role of education and provider contact versus home uterine monitoring

Cited by 84 publications

References 11 publications

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

Screening to prevent spontaneous preterm birth: systematic reviews of accuracy and effectiveness literature with economic modelling

Indicated and Non-Indicated Preterm Delivery in Twin Gestations: Impact on Neonatal Outcome and Cost

Vía Del Nacimiento en Gemelar Monocoriónico Con Transfusión Intergemelar Y Terapia in Utero

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