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Two different treatment regimens in women with preterm contractions who were admitted to a hospital due to a presumptive diagnosis of preterm labor: An observational study
Author(s) -
Chalermchockcharoenkit Amphan,
Rattanachaiyat Manee,
Kongjeera Amporn,
Pimol Kanjana,
Sirisomboon Ratre,
Yusamran Chaweewan
Publication year - 2008
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2007.00696.x
Subject(s) - medicine , observational study , obstetrics , gestation , pregnancy , preterm labor , pediatrics , genetics , biology
Aim: To determine the effect of adherence to a set of clinical practice guidelines (CPG) for the management of preterm contractions on health‐care resource consumption and pregnancy outcomes. Methods: This prospective observational study was conducted in a tertiary care university hospital from January 2003 to December 2004. Comparisons were made between the cases receiving treatment according to the CPG (CPG group) and those receiving treatment deviating from the CPG (non‐CPG group). Results: There were 203 patients with preterm contractions. Compared with the CPG group, the non‐CPG group had a higher rate of both tocolytic and steroid use, a longer maternal hospital stay, and a lower neonatal birthweight. Conclusions: Adherence to CPG in patients with preterm contractions at 28 +0 −36 +6 weeks' gestation consumes fewer health‐care resources without compromising pregnancy outcomes.