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

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

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

Pregnancy · Preterm Birth

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

Dyson DC, Crites YM, Ray DA, Armstrong MA

Published March 1991 American Journal of Obstetrics and Gynecology, 164(3), 756-762

DOI 10.1016/0002-9378(91)90510-x PMID 2003537

Abstract

A total of 394 patients were enrolled in a study to assess the effectiveness of an educational preterm delivery prevention program and to determine whether the addition of home uterine monitoring to the program improved results in patients at high risk of preterm labor. Both the educational program and home uterine monitoring were found to increase the percentage of women with preterm labor who sought care while still favorable for long-term suppression, resulting in a decreased incidence of preterm births and improved outcome when compared with similar high-risk patients who did not participate in these programs. In a randomized, prospective study, addition of home uterine monitoring to the educational program was found to significantly improve outcome in twin gestations but not in singleton gestations. However, the number of singleton pregnancies was too small to rule out possible benefit from home uterine monitoring in that group.

Topics

Pregnancy › Preterm Birth › Prediction · Birth and Delivery › Labor and Birth › Physiologic Birth

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

Don Dyson, D Dyson, Y Crites, Debbie Ray, Deb Ray, D Ray, M Armstrong

PMID 2003537 2003537 DOI 10.1016/0002-9378(91)90510-x 10.1016/0002-9378(91)90510-x Dyson et al. 1991, Dyson 1991

Keywords

Female, Fetal Monitoring, Humans, Obstetric Labor, Premature/prevention & Control, Patient Education As Topic, Pregnancy, Pregnancy, Multiple, Prenatal Care, Prospective Studies, Risk Factors, Twins

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

Abstract

Topics

By this author

Monitoring women at risk for preterm labor

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Keywords