Success rate in preterm uterine contraction inhibition with tocolytic agents in a tertiary care center

Kiatsuda, Duangsamorn; Thinkhamrop, Jadsada; Prasertcharoensuk, Witoon

doi:10.2147/ijwh.s122781

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…This study found the rate for successful preterm labor pain for at least 48 hours for 54.29% whereas the previous studies Theplib A. and Phupong V. found the rate for successful preterm labor pain at 83.4% [4] and the study of Kiasuda D. and colleague found the rate for successful preterm labor pain at 86.4% [5]. Maharat Nakhon Ratchasima Hospital is a tertiary referral hospital which accepts referrals from Secondary care center.…”

Section: Table 1 Baseline Maternal Characteristics Of Pregnant Women mentioning

confidence: 59%

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Seevilai

Aswakul

2021

ijsr

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The objective is aimed to Assessing risk factors for unsuccessful rate of uterus contraction inhibition in pregnant women 240/7-336/7 weeks of gestation in Maharat Nakhon Ratchasima Hospital The retrospective cohort study approved by the Research Ethics committee of, Maharat Hospital, Nokhon Ratchasima Province Thailand studying pregnant women who were diagnosed with preterm labor pain with gestrational age of 240/7-336/7 weeks at the delivery ward of Maharat Nakhon Ratchasima Hospital and received Dexamethasone(corticosteroid) for the first time in every case between 1 January 2016 – 31 December 2018. From 361 pregnant women with preterm labor pain, 169 women were successful inhibition which was 54.29%. The group with failure inhibition were 165 women which was 45.71%. The factors relating to unsuccessful inhibition of uterus contraction were ANC less than 5 times, Adjusted odd ratios(AORs) 1.74; 95%CI 1.01-3.03, multiple pregnancy AORs 4.42 ; 95%CI 1.96-9.97 Cervical dilatation ≥3 cm AORs 5.93; 95%CI 3.44-10.22, the Effacement ≥ 80%, AORs 3.39; 95%CI 2.07-5.55, transfer from another hospital AORs 13.96; 95%CI 5.24-37.19. The research concludes that the factors relating to unsuccessful inhibition of uterus contraction were ANC less than 5 times, multiple pregnancy, Cervical dilatation ≥3 centimeters, Effacement ≥ 80%,and pregnant women referred from Secondary care center

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Section: Table 1 Baseline Maternal Characteristics Of Pregnant Women mentioning

confidence: 59%

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Seevilai

Aswakul

2021

ijsr

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“…Sample size was calculated based on the findings of Kiatsuda et al 19 that UTI or ASB were presented in 15.5% of women admitted with preterm labor or threatened preterm labor. With alpha of 0.05 and d= 0.015, the sample size needed was 2,237 women.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of Urinary Tract Infection in Pregnancies with Premature Uterine Contractions

Talungchit,

Ruangvutilert,

Panchalee Boonbowornpong

et al. 2023

Siriraj Med J

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Objective: This study aimed to determine the prevalence of urinary tract infection (UTI) among pregnant women with premature uterine contractions. Roles of the current practice of routine simultaneous urinalysis and urine culture in these cases were also evaluated. Materials and Methods: Medical records of pregnant women admitted with premature uterine contractions at Siriraj Hospital between January 2013 and December 2017 were reviewed. Prevalence of UTI in these women was determined. Women were divided into 2 groups based on diagnosis at admission; group 1 included preterm labor/preterm prelabor rupture of membranes (PTL/PPROM), and group 2 was threatened preterm labor (TPL). Evaluations of urinalysis and/or urine culture were performed in these two groups to establish a strategy to reduce unnecessary urine culture. Results: The prevalence of UTI among 2,286 women with premature uterine contractions was 4.9%. Prevalence of UTI were not different between the two groups of women. A positive urine culture was found in 2.4%. The most common organism identified in both groups of women was Escherichia coli. Urinalysis with abnormal cell counts and/or significant presence of bacteria could be used to screen for women in TPL group who should have urine culture with a positive screening rate of 6.5% and 90.9% sensitivity. With this strategy, unnecessary urine culture could be reduced. Conclusion: The prevalence of UTI among pregnant women admitted with premature uterine contractions was 4.9% and was not different between PTL/PPROM group and TPL group. Urinalysis with abnormal cell counts or significant bacteriuria could be a screening tool to reduce number of urine culture in women with TPL.

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Preterm Labor and Birth

Griggs

Hrelic

Williams

et al. 2020

McN: The American Journal of Maternal/Child Nursing

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When caring for women experiencing preterm labor and birth, nurses play a significant role as bedside experts, advocates, patient educators, and key members of the maternity care team. Enhanced expertise on clinical and professional knowledge of preterm labor and birth is crucial in prevention and treatment. As preterm birth rates continue to rise, perinatal nurses as well-informed clinical experts have the opportunity to offer innovative education, holistic assessments, and communication through shared decision-making models. Educating pregnant women about early recognition of preterm labor warning signs and symptoms allows for timely diagnosis, interventions, and treatment. Informed and collaborative nursing practice improves quality of clinical care based on individualized interactions. A clinical review of preterm labor and preterm birth is presented for perinatal nurses.

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Success rate in preterm uterine contraction inhibition with tocolytic agents in a tertiary care center

Cited by 5 publications

References 11 publications

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Risk Factor for Unsuccessful Rate of Preterm Labor Inhibition With Tocolytic Agent in Pregnant Women 240/7-336/7 Weeks of Gestation at Maharat Nakhon Ratchasima Hospital

Prevalence of Urinary Tract Infection in Pregnancies with Premature Uterine Contractions

Preterm Labor and Birth

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