V Smith1, D Devane, S Higgins. 1. School of Nursing and Midwifery, Trinity College Dublin, The University of Dublin, 24 D'Olier Street, Dublin 2, Ireland. vasmith@tcd.ie
Abstract
BACKGROUND: Preterm birth can result in adverse outcomes for the neonate and/or his/her family. The accurate prediction and prevention of preterm birth is paramount. This study describes and critically analyses practices for predicting and preventing preterm birth in Ireland. METHODS: A questionnaire seeking information on practices for predicting and preventing preterm birth was mailed to all consultant obstetricians practising in Ireland in February 2006. RESULTS: For predicting preterm birth, 97% of respondents did not use foetal fibronectin testing, 71% carried out routine second and third trimester cervical assessments and 75% routinely screened for genital tract infection. For preventing preterm birth, 62% prescribed bed rest, 24% prescribed antibiotics, 14% routinely inserted a cervical cerclage in women with a history of mid-trimester miscarriage and 61% routinely used tocolytics. CONCLUSION: The findings of this survey, for the most part, reflect the empirical evidence base, international practices and best practice recommendations.
BACKGROUND: Preterm birth can result in adverse outcomes for the neonate and/or his/her family. The accurate prediction and prevention of preterm birth is paramount. This study describes and critically analyses practices for predicting and preventing preterm birth in Ireland. METHODS: A questionnaire seeking information on practices for predicting and preventing preterm birth was mailed to all consultant obstetricians practising in Ireland in February 2006. RESULTS: For predicting preterm birth, 97% of respondents did not use foetal fibronectin testing, 71% carried out routine second and third trimester cervical assessments and 75% routinely screened for genital tract infection. For preventing preterm birth, 62% prescribed bed rest, 24% prescribed antibiotics, 14% routinely inserted a cervical cerclage in women with a history of mid-trimester miscarriage and 61% routinely used tocolytics. CONCLUSION: The findings of this survey, for the most part, reflect the empirical evidence base, international practices and best practice recommendations.
Authors: Nancy S Green; Karla Damus; Joe Leigh Simpson; Jay Iams; E Albert Reece; Calvin J Hobel; Irwin R Merkatz; Michael F Greene; Richard H Schwarz Journal: Am J Obstet Gynecol Date: 2005-09 Impact factor: 8.661