PMID: 11605724Oct 19, 2001Paper

A preterm birth prevention project in Nova Scotia, Canada

Maternal and Child Health Journal
B A ArmsonKim Rinaldo

Abstract

The Halifax County Preterm Birth Prevention Project was designed to evaluate the effectiveness of a population-based preterm birth (PTB) prevention program in Nova Scotia from January 1995 through June 1997 (n = 10,326). Preterm birth rates, adjusted for risk status and maternal age, were evaluated over time in Halifax County and compared to non-Halifax County parturients in Nova Scotia. Physician participation was evaluated by means of a mailed survey. There was no appreciable change in the overall (<37 weeks) or early (<34 weeks) PTB rates within or outside Halifax County during the intervention period compared to the preintervention period. Although not significant, the very (<30 weeks) PTB rate in Halifax County decreased by 40% from 0.53 to 0.32%, while outside Halifax County it remained stable (0.43-0.42%). There was a statistically significant decrease in early and very PTB associated with spontaneous labour, as well as an apparent shift in the timing of delivery from very preterm to preterm (> or =30 weeks). Participation among responding physicians was greater for high-risk than low-risk women, but full compliance with project recommendations was low. The overall ineffectiveness of the Halifax County Preterm Birth Prev...Continue Reading

Citations

Sep 3, 2020·Archives of Gynecology and Obstetrics·Dana VitnerJohn P Newnham
Mar 14, 2013·BJOG : an International Journal of Obstetrics and Gynaecology·L Takser
Mar 29, 2014·BMC Pregnancy and Childbirth·K S JosephAlexander C Allen

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