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Management of preterm labor patients at home: Does daily uterine activity monitoring and nursing support make a difference?

Publication ,  Journal Article
Watson, DL; Welch, RA; Mariona, FG; Lake, MF; Knuppel, RA; Martin, RW; Johson, C; Bentley, DL; Hill, WC; al, E
Published in: Obstetrics and Gynecology
1990

Daily home uterine activity monitoring and perinatal nursing support were compared with standard care in managing patients with recurrent preterm labor during the current pregnancy in an effort to reduce preterm birth. Sixty-seven successfully treated preterm labor patients were randomly assigned in this multicenter study to daily home uterine activity monitoring and perinatal nursing support or to a standard-care group. Recurrent preterm labor occurred in 15 (45%) of monitored patients and 19 (56%) of standard-care patients. The risk of preterm birth (before 37 weeks) for patients with recurrent preterm labor was significantly reduced (P = .025) in the monitored group (seven, or 47%) compared with the standard-care group (16, or 84%). The relative risk of delivering because of failed tocolysis was 2.8 for the standard-care group versus the monitored group. There were no patients in the monitored group who delivered at the first recurrence of preterm labor for failed tocolysis. The data suggest that home uterine activity monitoring and perinatal nursing support are helpful in achieving term birth through earlier detection and treatment of recurrent preterm labor.

Duke Scholars

Published In

Obstetrics and Gynecology

Publication Date

1990

Volume

76

Issue

1 SUPPL.

Start / End Page

32S / 35S

Related Subject Headings

  • Obstetrics & Reproductive Medicine
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

APA
Chicago
ICMJE
MLA
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Watson, D. L., Welch, R. A., Mariona, F. G., Lake, M. F., Knuppel, R. A., Martin, R. W., … al, E. (1990). Management of preterm labor patients at home: Does daily uterine activity monitoring and nursing support make a difference? Obstetrics and Gynecology, 76(1 SUPPL.), 32S-35S.
Watson, D. L., R. A. Welch, F. G. Mariona, M. F. Lake, R. A. Knuppel, R. W. Martin, C. Johson, D. L. Bentley, W. C. Hill, and E. al. “Management of preterm labor patients at home: Does daily uterine activity monitoring and nursing support make a difference?Obstetrics and Gynecology 76, no. 1 SUPPL. (1990): 32S-35S.
Watson DL, Welch RA, Mariona FG, Lake MF, Knuppel RA, Martin RW, et al. Management of preterm labor patients at home: Does daily uterine activity monitoring and nursing support make a difference? Obstetrics and Gynecology. 1990;76(1 SUPPL.):32S-35S.
Watson, D. L., et al. “Management of preterm labor patients at home: Does daily uterine activity monitoring and nursing support make a difference?Obstetrics and Gynecology, vol. 76, no. 1 SUPPL., 1990, pp. 32S-35S.
Watson DL, Welch RA, Mariona FG, Lake MF, Knuppel RA, Martin RW, Johson C, Bentley DL, Hill WC, al E. Management of preterm labor patients at home: Does daily uterine activity monitoring and nursing support make a difference? Obstetrics and Gynecology. 1990;76(1 SUPPL.):32S-35S.

Published In

Obstetrics and Gynecology

Publication Date

1990

Volume

76

Issue

1 SUPPL.

Start / End Page

32S / 35S

Related Subject Headings

  • Obstetrics & Reproductive Medicine
  • 1114 Paediatrics and Reproductive Medicine