التفاصيل البيبلوغرافية
| العنوان: |
Activity restriction and risk of preterm delivery. |
| المؤلفون: |
Levin, Heather I.1,2 heather.levin@gmail.com, Sciscione, Anthony3, Ananth, Cande V.1,4, Drassinower, Daphnie1,5, Obican, Sarah G.1,6, Wapner, Ronald J.1 |
| المصدر: |
Journal of Maternal-Fetal & Neonatal Medicine. Aug2018, Vol. 31 Issue 16, p2136-2140. 5p. |
| مصطلحات موضوعية: |
*PREMATURE labor, *PREGNANCY complications, *LABOR complications (Obstetrics), *PREMATURE infants, *CHILDBIRTH, *BED rest, *GESTATIONAL age, *LONGITUDINAL method, *ACTIVITIES of daily living |
| مستخلص: |
Purpose: We sought to determine whether activity restriction (AR) in a cohort of women at high risk for preterm delivery is associated with the risk of preterm delivery.Materials and Methods: This is a secondary analysis of the Maternal-Fetal Medicine Units MFMU's Preterm Prediction Study; a multicenter prospective cohort study designed to identify risk factors of preterm birth (PTB). The study group consisted of women with a singleton gestation that at their first study visit (23-24 weeks) had at least one of the following criteria: patient reported contractions, severe back pain, a cervical length <15 mm, spotting, protruding membranes, or positive fetal fibronectin. Women were assessed for AR at a 27- to 29-week study visit. Associations between AR and preterm delivery (<37 weeks) were examined through logistic regression models before and after adjustment for confounders.Results: Of the 1086 women that met the inclusion criteria, 16.5% (n = 179) delivered preterm. In this cohort, 9.7% (n = 105) of women were recommended AR, with 37.1% (n = 39) having a PTB. In the group not recommended AR (n = 981), 14.3% (n = 140) delivered preterm.Conclusion: In this cohort of women at high risk for PTB, activity restriction was associated with an increased risk of PTB. The use of AR in this population should be discouraged. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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