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Intrauterine Telemetry to Measure Mouse Contractile Pressure In Vivo
Published on: April 6, 2015
Monitoring women at risk for preterm labor
D C Dyson1, K H Danbe, J A Bamber
1Department of Obstetrics and Gynecology, Kaiser Permanente Medical Care Program, Northern California, Santa Clara 95051-5386, USA.
The New England Journal of Medicine
|January 1, 1998
Summary
Frequent nurse contact and home monitoring did not reduce preterm birth rates. Increased daily contact led to more unscheduled visits and tocolytic drug use without improving pregnancy outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Nursing Research
Background:
- Preterm birth is a leading cause of perinatal complications.
- The effectiveness of increased nurse contact or home uterine activity monitoring for reducing preterm birth is unclear.
Purpose of the Study:
- To determine if frequent nurse contact or home monitoring of uterine activity reduces preterm birth rates.
- To evaluate the impact of different contact frequencies on cervical status and neonatal outcomes.
Main Methods:
- Randomized trial of 2422 high-risk pregnant women.
- Intervention groups: weekly nurse contact, daily nurse contact, or daily nurse contact with home monitoring.
- Primary outcome: birth before 35 weeks' gestation.
Main Results:
- No significant difference in preterm birth rates (<35 weeks) across groups (14%, 13%, 14%).
- Increased daily contact led to more unscheduled obstetric visits and higher rates of prophylactic tocolytic drug use.
- No improvements in cervical dilation or neonatal outcomes (birth weight) were observed.
Conclusions:
- Daily nurse contact, with or without home monitoring, does not improve pregnancy outcomes compared to weekly contact.
- Intensified monitoring strategies may increase healthcare utilization without demonstrable benefit in preventing preterm birth.
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