| Prematurity prevention programs: an analysis of successes and failures. | |
| | |
MedLine Citation:
|
PMID: 8141194 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Our purpose was to assess the long-term results of established prematurity prevention programs. STUDY DESIGN: A population cohort of pregnant women from two major urban health care organizations were examined. Rates and cost-benefit analysis of prematurity and patient, system, or physician failures were analyzed. During 1990 1143 pregnant women were prospectively reviewed. RESULTS: A total of 11.8% of the mothers were high risk and responsible for 108 (50.2%) of the preterm deliveries. The preterm birth rate of all enrollees was 4.6%. One percent of the preterm neonates required level III care for complications. The average charge for a 35 week infant was 18 times, and a 36 week infant was five times more costly than a term infant. Patient, physician, and health care system failures occurred at different rates. CONCLUSIONS: This preterm prevention program resulted in low preterm birth rates. Potentially preventable preterm births most often occurred as a result of patient and physician failures. |
| | |
Authors:
|
J J Fangman; P M Mark; L Pratt; K K Conway; M L Healey; J W Oswald; D L Uden |
Related Documents
:
|
1506094 - Normal ventricular size and ventriculo-hemispheric ratio in infants upto 6 months of ag... 20670094 - Fetal fibronectin as a predictor of spontaneous preterm birth: a european perspective. 3263614 - Response of preterm infants to diphtheria-tetanus-pertussis vaccine. 7078844 - Premature rupture of membranes and spontaneous preterm labor: maternal endometritis risks. 1936634 - Neonatal sensorineural hearing loss associated with furosemide: a case-control study. 16651334 - Should pacifiers be recommended to prevent sudden infant death syndrome? |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: American journal of obstetrics and gynecology Volume: 170 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1994 Mar |
Date Detail:
|
Created Date: 1994-04-28 Completed Date: 1994-04-28 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 744-50 Citation Subset: AIM; IM |
Affiliation:
|
Department of Neonatology, Minneapolis Children's Medical Center, MN 55404. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Female Humans Infant, Newborn Infant, Premature* Obstetric Labor, Premature / economics, prevention & control*, therapy Patient Education as Topic Pregnancy Prenatal Care* / economics, methods Risk Factors Treatment Failure Treatment Outcome |
| Comments/Corrections | |
Comment In:
|
Am J Obstet Gynecol. 1995 May;172(5):1639-40
[PMID:
7755086
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Is the risk of perinatal transmission of human immunodeficiency virus increased by the intrapartum u...
Next Document: Prognostic indicators in the prenatal diagnosis of agenesis of corpus callosum.