المؤلفون: Aldo Reis, Neiw Iamada, Tomaz Pinheiro da Costa, Carla Pontes de Albuquerque, Andrea Paula de Azevedo, Letícia Krauss Silva

المصدر: Cadernos de Saúde Pública, Volume: 15, Issue: 3, Pages: 581-590, Published: SEP 1999
Cadernos de Saúde Pública v.15 n.3 1999
Cadernos de Saúde Pública
Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
Cadernos de Saúde Pública, Vol 15, Iss 3, Pp 581-590
Cadernos de Saúde Pública, Vol 15, Iss 3, Pp 581-590 (1999)

مصطلحات موضوعية: Quality Control, medicine.medical_specialty, premature labor, Preterm labor, Population, Outcome analysis, lcsh:Medicine, Padrões de Referência, Tocolíticos, Process analysis, reference standards, medicine, Childbirth, tocolytic agents, quality control, education, education.field_of_study, Pregnancy, Obstetrics, business.industry, lcsh:Public aspects of medicine, lcsh:R, Public Health, Environmental and Occupational Health, Gestational age, lcsh:RA1-1270, Reference Standards, medicine.disease, Premature Labor, Tocolytic Agents, Trabalho de Parto Prematuro, Premature birth, Controle de Qualidade, business

الوصف: O objetivo do presente trabalho foi avaliar a qualidade do atendimento ao trabalho de parto prematuro em maternidades públicas do Rio de Janeiro, utilizando referentes, indicadores e padrões de processo e de resultado derivados de evidências científicas. Na análise de processo, o padrão utilizado para o uso de tocolíticos betamiméticos foi de 100%, considerando os referentes derivados. Na análise de resultados, o padrão foi a ocorrência de parto prematuro em 11% das pacientes dentro de 24 h e em 24% dentro de 48 h da admissão hospitalar. O uso de tocolíticos ocorreu em 18,7% das pacientes admitidas em trabalho de parto prematuro. Na faixa de idade gestacional de 28 a 33 semanas e seis dias, especialmente importante para a sobrevivência neonatal, o uso de tocolíticos foi feito em 32,6% das pacientes. Parto prematuro ocorreu em 59% das pacientes dentro de 24 h e em 64% das pacientes dentro de 48 h da admissão, resultados consistentes com o baixo uso de tocolíticos observado. A efetividade da assistência ao trabalho de parto prematuro, medida pela taxa de nascimentos prematuros, foi baixa. Os achados das correspondentes análises de processo e resultado foram consistentes. The objective of this study was to assess quality of care for premature labor at public maternity facilities in Rio de Janeiro, Brazil, using referents, indicators, and standards of care derived from scientific evidence. The standard utilized in the process analysis for use of betamimetic tocolytics was 100%, considering the related referents. For outcome analysis, the standard applied was the occurrence of premature delivery in 11% of patients within 24 h and in 24% of patients (referent) within 48 h of hospital admission. Use of tocolytics was observed in 18.7% of patients admitted in premature labor. At gestational age from 28 weeks to 33 weeks and 6 days, especially critical for neonatal survival, tocolytics were used in 32.6% of patients. Premature birth occurred in 59% of patients within 24 h and in 64% within 48 h. These outcomes were consistent with the low rate of utilization of tocolytics. Effectiveness of care for preterm labor measured by rate of premature birth was low. Results of the corresponding process and outcomes analysis were consistent.

وصف الملف: text/html

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f733686f833a87028fab9522d74ea986Test
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X1999000300015&lng=en&tlng=enTest

المؤلفون: Thomas E. Elkins, Douglas Brown

المصدر: Clinics in Perinatology. 19:469-481

مصطلحات موضوعية: medicine.medical_specialty, Ethical issues, Nursing, Premature labor, Obstetrics, business.industry, Pediatrics, Perinatology and Child Health, medicine, Obstetrics and Gynecology, Childbirth, business

الوصف: This article explores the ethical issues confronted when the process of childbirth is threatened by premature labor and delivery. In this article, obstetric ethics are distinguished within the larger study of "ethics," frameworks for decision making are critiqued, and factors that frequently influence the formation of ethical judgments are commented on.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::c412e3c80c429012e4176bc95b2d5ffbTest
https://doi.org/10.1016/s0095-5108Test(18)30469-x

المؤلفون: Julio Nazer H, Maria Eugenia Hubner G, Guido Juárez de León

المصدر: Revista chilena de pediatría v.80 n.6 2009
SciELO Chile
CONICYT Chile
instacron:CONICYT

مصطلحات موضوعية: EARLY DELIVERY, medicine.medical_specialty, business.industry, Obstetrics, Premature labor, UTI neonatal, Gestational age, Place of birth, recien nacidos de muy bajo peso, Infant mortality, Pediatrics, Perinatology and Child Health, Childbirth, Medicine, Area of residence, sobrevida neonatal, prematuro extremo, Parto prematuro, business, mortalidad neonatal, Socioeconomic status

الوصف: La ciencia biomédica no ha logrado disminuir la incidencia de partos prematuros. Los RN menores de 32 semanas, constituyen el principal determinante de la mortalidad infantil en los países más desarrollados. Los objetivos de esta revisión son identificar a través de la literatura médica los factores de riesgo asociados a parto prematuro y destacar las estrategias desarrolladas para mejorar la sobrevida de este grupo etario. Resultados: Entre los factores prenatales asociados a prematurez destaca la raza negra, la edad materna, historia de parto prematuro previo, el nivel socioeconómico, embarazos múltiples e infecciones. Constituyen factores de riesgo asociados a mortalidad neonatal, tener menor edad gestacional y peso, ser PEG. Dentro de las estrategias para mejorar la sobrevida destaca la regionalización, el traslado in útero, establecer diferentes niveles de atención en el cuidado neonatal, el uso corticoides pre natal para acelerar la madurez pulmonar, tomar una conducta proactiva al nacer, el uso de surfactante artificial y evitar tratamientos con corticoides después de nacer. Las redes neonatales permiten mejorar la sobrevida potenciando las mejores prácticas médicas. El lugar en que se nace es importante en la sobrevida del recién nacido, Conclusión: Identificar los factores de riesgo de parto prematuro y conocer las estrategias que mejoran la sobrevida de los RN menores de 32 semanas permite planificar el lugar de nacimiento y ofrecer las mejores prácticas clínicas destinadas a reducir la mortalidad de este grupo.

وصف الملف: text/html

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::40431f76838f2a9210fef0b85c4d483dTest
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062009000600009Test

المؤلفون: Nancy Gospo, Gerry Kinworthy

المصدر: QRB. Quality review bulletin. 16(4)

مصطلحات موضوعية: Celtic languages, Insurance, Health, Cost–benefit analysis, Leadership and Management, Premature labor, business.industry, Cost-Benefit Analysis, Audit, United States, Life insurance, Utilization Review, Childbirth, Medicine, Operations management, Maternal Health Services, business, Quality assurance, Utilization management

الوصف: Celtic Life Insurance Company's (Celtic) utilization management program demonstrates that insurance companies, like hospitals, can develop a high level of quality assurance in utilization management by maintaining a professional clinical staff, developing special programs to target specific medical concerns, and conducting ongoing audits. Celtic's High Risk Maternity Program, developed in 1988 as an adjunct to the utilization management program, provides education about pregnancy and childbirth, screens pregnant insureds, and offers case management for high-risk pregnancies. Pregnant insureds who volunteer to case management are referred to the Rose Bud Program, a premature labor prevention program that was developed by Northwestern National Life Insurance Company with Abbott Northwestern Hospital.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2e4b30940bd668fc62a8796dc53a5476Test
https://pubmed.ncbi.nlm.nih.gov/2113665Test

المؤلفون: G. D. Burrows, P. Stone, L. Dennerstein

المصدر: Advances in Psychosomatic Obstetrics and Gynecology ISBN: 9783540117100

مصطلحات موضوعية: Hypnosis, Psychotherapist, Premature labor, Childbirth, Psychology

الوصف: Due to many variables, including the subjective nature of the phenomena being observed and the variety of styles of measurement, comparison between studies of childbirth is difficult. Where hypnosis has been used adjunctively with other methods of preparation, hypnosis seems as effective, or more effective, in achieving the desired results of reduced drug therapy and a more enjoyable experience (Stone and Burrows 1980).

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::6ca3631d946c0d10477b615b491eb289Test
https://doi.org/10.1007/978-3-642-81876-9_137Test

المؤلفون: Emilio Piccione

المصدر: Scopus-Elsevier

مصطلحات موضوعية: cytokine, icosanoid, oxytocin, steroid hormone, vasopressin, arachidonic acid metabolism, biosynthesis, childbirth, fatty acid synthesis, fetus membrane, human, labor, nonhuman, placenta, premature labor, review, sheep, Settore MED/40 - Ginecologia e Ostetricia

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::5f79d110a5637e3c41cfa523185d3f70Test
http://www.scopus.com/inward/record.url?eid=2-s2.0-0029048012&partnerID=MN8TOARSTest