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Related Experiment Videos

Obstetric risk assessment in rural practice.

M LeFevre1, H A Williamson, M Hector

  • 1Department of Family and Community Medicine, University of Missouri, Columbia 65212.

The Journal of Family Practice
|June 1, 1989
PubMed
Summary

Coopland's obstetric risk index identified high-risk pregnancies but had many false positives in rural primary care. The index was no more effective than referring all women with standard obstetric risk factors.

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Area of Science:

  • Obstetrics and Gynecology
  • Primary Care Medicine
  • Rural Health

Background:

  • Coopland's obstetric risk index is a tool for assessing pregnancy risk.
  • Its utility in rural primary care settings requires evaluation.
  • Identifying high-risk pregnancies is crucial for timely intervention.

Purpose of the Study:

  • To evaluate the effectiveness of Coopland's obstetric risk index.
  • To assess its performance in a rural primary care setting.
  • To determine if the index improves identification of adverse pregnancy outcomes.

Main Methods:

  • Prospective data collection from 635 pregnant women in a rural practice.
  • Defined adverse outcomes including perinatal death, low birthweight, low Apgar score, and newborn transfer.
  • Analyzed the relationship between risk scores and adverse outcomes.

Main Results:

  • 8.3% of pregnancies (47) had an adverse outcome.
  • A relationship existed between risk score and adverse outcome probability.
  • High sensitivity was achieved only with a high false-positive rate.
  • Most adverse outcomes occurred in women classified as low risk.

Conclusions:

  • Coopland's obstetric risk index can identify a subgroup of high-risk women.
  • The index demonstrated a high false-positive rate in this rural population.
  • The index was not more effective than referring all women with standard obstetric risk factors.

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