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Related Experiment Videos

High risk antenatal hospitalization.

M Phillippe, F D Frigoletto, P von Oeyen

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |December 1, 1982
    PubMed
    Summary
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    High-risk pregnancies benefit from specialized antenatal units (AU). This study of 1488 patients found antenatal hospitalization for conditions like diabetes and hypertension achieved a 95% perinatal survival rate.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Perinatology

    Background:

    • High-risk pregnancies require specialized care.
    • Antenatal units (AU) offer sophisticated obstetric services.
    • Defining patient criteria and documenting AU benefits is crucial.

    Purpose of the Study:

    • To define patients requiring antenatal hospitalization.
    • To document the benefits of antenatal hospitalization.
    • To evaluate the outcomes of patients admitted to the Antenatal Unit (AU) at Brigham and Women's Hospital.

    Main Methods:

    • Prospective evaluation over 2 years (July 1978 - June 1980).
    • Admission of 1488 consecutive patients to the AU.
    • Collection of demographic, hospitalization, and delivery data.

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    Main Results:

    • Common admissions: diabetes mellitus, premature labor, hypertensive disorders, premature rupture of membranes, late pregnancy bleeding.
    • Among 1488 patients: 32 stillbirths (21.5/1000), 50 neonatal deaths (33.6/1000).
    • Zero maternal deaths recorded.

    Conclusions:

    • A wide range of complications necessitate antenatal hospitalization.
    • Antenatal hospitalization leads to improved perinatal outcomes.
    • The study demonstrated an overall perinatal survival rate of 95%.