PMID: 9649089Jul 2, 1998Paper

Preterm contractions in community settings: I. Treatment of preterm contractions

Obstetrics and Gynecology
W J Hueston

Abstract

To explore how physicians in community hospitals (non-level III nursery facilities) diagnose preterm labor and treat women with preterm contractions. Chart audits were performed for women presenting with preterm contractions at a network of 11 Wisconsin non-level III hospitals. Ninety percent (239 of 266) of the women presenting with premature contractions agreed to participate. The average gestational age was 31.6 weeks' gestation. Only 44 (17%) of these women had any cervical change with their contractions. However, tocolytic agents were used frequently, regardless of whether cervical changed occurred (61%) or not (76%, P=.10), and tocolytics were prescribed frequently upon discharge for those patients who left the hospital (54% of those with cervical change versus 62% in those without changes, P=.57). Examining the use of appropriate treatments for women who did deliver prematurely, we found that only 26% of women who delivered prematurely received antenatal antibiotics to prevent group B streptococcal disease in the newborn, and only 33% of those who delivered at 34 weeks' gestation or earlier received corticosteroids to accelerate fetal lung maturity. Women presenting at community hospitals with preterm contractions but no...Continue Reading

References

Dec 10, 1992·The New England Journal of Medicine·T J Benedetti
Sep 5, 1991·The New England Journal of Medicine·C J LockwoodT J Garite
Nov 1, 1995·American Journal of Obstetrics and Gynecology·H Y HowJ A Spinnato
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Citations

Feb 11, 2003·Obstetrics and Gynecology·Jay D Iams
Nov 30, 1999·Journal of Nurse-midwifery·P M Barnes, M S Dossey
Nov 26, 1999·Clinical Obstetrics and Gynecology·V L Katz, R M Farmer
Oct 18, 2011·American Journal of Obstetrics and Gynecology·Alison G CahillAaron B Caughey
Dec 23, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M SaitoY Taketani
Jun 27, 2002·The Journal of Perinatal & Neonatal Nursing·Mary Goering, Wanda Wilson
Nov 30, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Demetrios BotsisGeorge Creatsas

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