| Expectant management of placenta previa: cost-benefit analysis of outpatient treatment. | |
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MedLine Citation:
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PMID: 8178847 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: In this study outpatient and inpatient expectant management for complete placenta previa were compared in terms of maternal and neonatal outcome and overall cost. STUDY DESIGN: We reviewed the outcomes and hospital costs of 72 mother-infant pairs where the pregnancy was complicated by second- or third-trimester placenta previa and was managed expectantly either with hospitalization or outpatient bed rest. The data were analyzed with the two-sided unpaired t test, chi 2, and simple correlation analysis. RESULTS: There were no differences in maternal morbidity as measured by estimated total blood loss, number of blood transfusions, nadir hematocrit, or need for emergency delivery. Fetal mortality was comparable in both groups, and there were no significant differences in neonatal morbidity as measured by gestational age, birth weight, 5-minute Apgar score, or occurrence of fetal distress. Among outpatients the number of maternal hospital days was reduced by 50% (p < 0.01). Outpatient management achieved a hospital cost reduction of 48.5% for mothers (p < 0.001) and 39.4% for mother-infant pairs (p < 0.05). CONCLUSION: In selected patients outpatient management of complete placenta previa can be cost-effective and safe. |
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Authors:
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S Droste; K Keil |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 170 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1994 May |
Date Detail:
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Created Date: 1994-06-09 Completed Date: 1994-06-09 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1254-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Wisconsin-Madison. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ambulatory Care / economics* Cost-Benefit Analysis* Female Hospital Costs Hospitalization / economics Humans Infant, Newborn Placenta Previa / complications, economics, therapy* Pregnancy Pregnancy Outcome Pregnancy Trimester, Second Pregnancy Trimester, Third Retrospective Studies |
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