The Experts below are selected from a list of 114 Experts worldwide ranked by ideXlab platform

Michael J Corwin - One of the best experts on this subject based on the ideXlab platform.

  • multicenter randomized clinical trial of home Uterine Activity Monitoring pregnancy outcomes for all women randomized
    American Journal of Obstetrics and Gynecology, 1996
    Co-Authors: Michael J Corwin, Susan M Mou, Shirazali G Sunderji, Stanley Gall, Helen How, Vinu Patel, Mark Gray
    Abstract:

    Abstract OBJECTIVE: Our purpose was to evaluate the impact of home Uterine Activity Monitoring on pregnancy outcomes among women at high risk for preterm labor and delivery. STUDY DESIGN: Women at high risk for preterm labor at three centers were randomly assigned to receive high-risk prenatal care alone (not monitored) or to receive the same care with twice-daily home Uterine Activity Monitoring without increased nursing support (monitored). There were 339 women with singleton gestations randomized with caregivers blinded to group assignment. The two groups were medically and demographically similar at entry into the study. RESULTS: Women in the monitored group had prolonged pregnancy survival ( p = 0.02) and were less likely to experience a preterm delivery (relative risk 0.59; p = 0.04). Infants born to monitored women with singleton gestations were less likely to be of low birth weight ( p = 0.003), and were less likely to be admitted to a neonatal intensive care unit (relative risk 0.5, p = 0.01). CONCLUSION: These data show, among women with singleton gestations at high risk for preterm delivery, that the use of home Uterine Activity Monitoring alone, without additional intensive nursing care, results in improved pregnancy outcomes, including prolonged gestation, decreased risk for preterm delivery, larger-birth-weight infants, and a decreased need for neonatal intensive care. (Am J Obstet Gynecol 1996;175:1281-5.)

  • multicenter randomized clinical trial of horne Uterine Activity Monitoring for detection of preterrn labor
    American Journal of Obstetrics and Gynecology, 1991
    Co-Authors: Susan M Mou, Herbert L. Kayne, Shirazali G Sunderji, Stanley Gall, Helen How, Vinu Patel, Mark Gray, Michael J Corwin
    Abstract:

    Home Uterine Activity Monitoring has been described as an effective means of detecting Uterine contractions, but controversy exists whether it is home Uterine Activity Monitoring or increased nursing support in conjunction with it that contributes to earlier detection of preterm labor. In this study 377 women at risk for preterm labor from three centers were prospectively, randomly assigned to high-risk prenatal care alone (not monitored) or to the same care with twice-daily home Uterine Activity Monitoring without increased nursing support (monitored). The two groups were medically and demographically similar at entry into the study. Routine visits, nonroutine visits, and gestational age at diagnosis of preterm labor were similar in both groups. Preterm labor occurred in 41 of 198 monitored and 39 of 179 not monitored patients. Mean cervical dilatation was 1.4 cm in 41 monitored compared with 2.5 cm for 37 not monitored (p = 0.0006); 73.1% of monitored and 27.5% of not monitored had preterm labor detected before 2 cm dilatation (p = 0.00009). Neonatal outcome of singleton pregnancies showed greater birth weight, fewer days in the neonatal intensive care unit, and fewer babies requiring oxygen therapy and mechanical ventilation in the monitored group. The better outcomes are probably due to the increased likelihood of diagnosis of preterm labor before advanced cervical dilatation with home Uterine Activity Monitoring, thus providing the clinician with a better chance to initiate tocolytic therapy directed at improving pregnancy outcome.

Mark Gray - One of the best experts on this subject based on the ideXlab platform.

  • multicenter randomized clinical trial of home Uterine Activity Monitoring pregnancy outcomes for all women randomized
    American Journal of Obstetrics and Gynecology, 1996
    Co-Authors: Michael J Corwin, Susan M Mou, Shirazali G Sunderji, Stanley Gall, Helen How, Vinu Patel, Mark Gray
    Abstract:

    Abstract OBJECTIVE: Our purpose was to evaluate the impact of home Uterine Activity Monitoring on pregnancy outcomes among women at high risk for preterm labor and delivery. STUDY DESIGN: Women at high risk for preterm labor at three centers were randomly assigned to receive high-risk prenatal care alone (not monitored) or to receive the same care with twice-daily home Uterine Activity Monitoring without increased nursing support (monitored). There were 339 women with singleton gestations randomized with caregivers blinded to group assignment. The two groups were medically and demographically similar at entry into the study. RESULTS: Women in the monitored group had prolonged pregnancy survival ( p = 0.02) and were less likely to experience a preterm delivery (relative risk 0.59; p = 0.04). Infants born to monitored women with singleton gestations were less likely to be of low birth weight ( p = 0.003), and were less likely to be admitted to a neonatal intensive care unit (relative risk 0.5, p = 0.01). CONCLUSION: These data show, among women with singleton gestations at high risk for preterm delivery, that the use of home Uterine Activity Monitoring alone, without additional intensive nursing care, results in improved pregnancy outcomes, including prolonged gestation, decreased risk for preterm delivery, larger-birth-weight infants, and a decreased need for neonatal intensive care. (Am J Obstet Gynecol 1996;175:1281-5.)

  • multicenter randomized clinical trial of horne Uterine Activity Monitoring for detection of preterrn labor
    American Journal of Obstetrics and Gynecology, 1991
    Co-Authors: Susan M Mou, Herbert L. Kayne, Shirazali G Sunderji, Stanley Gall, Helen How, Vinu Patel, Mark Gray, Michael J Corwin
    Abstract:

    Home Uterine Activity Monitoring has been described as an effective means of detecting Uterine contractions, but controversy exists whether it is home Uterine Activity Monitoring or increased nursing support in conjunction with it that contributes to earlier detection of preterm labor. In this study 377 women at risk for preterm labor from three centers were prospectively, randomly assigned to high-risk prenatal care alone (not monitored) or to the same care with twice-daily home Uterine Activity Monitoring without increased nursing support (monitored). The two groups were medically and demographically similar at entry into the study. Routine visits, nonroutine visits, and gestational age at diagnosis of preterm labor were similar in both groups. Preterm labor occurred in 41 of 198 monitored and 39 of 179 not monitored patients. Mean cervical dilatation was 1.4 cm in 41 monitored compared with 2.5 cm for 37 not monitored (p = 0.0006); 73.1% of monitored and 27.5% of not monitored had preterm labor detected before 2 cm dilatation (p = 0.00009). Neonatal outcome of singleton pregnancies showed greater birth weight, fewer days in the neonatal intensive care unit, and fewer babies requiring oxygen therapy and mechanical ventilation in the monitored group. The better outcomes are probably due to the increased likelihood of diagnosis of preterm labor before advanced cervical dilatation with home Uterine Activity Monitoring, thus providing the clinician with a better chance to initiate tocolytic therapy directed at improving pregnancy outcome.

Susan M Mou - One of the best experts on this subject based on the ideXlab platform.

  • multicenter randomized clinical trial of home Uterine Activity Monitoring pregnancy outcomes for all women randomized
    American Journal of Obstetrics and Gynecology, 1996
    Co-Authors: Michael J Corwin, Susan M Mou, Shirazali G Sunderji, Stanley Gall, Helen How, Vinu Patel, Mark Gray
    Abstract:

    Abstract OBJECTIVE: Our purpose was to evaluate the impact of home Uterine Activity Monitoring on pregnancy outcomes among women at high risk for preterm labor and delivery. STUDY DESIGN: Women at high risk for preterm labor at three centers were randomly assigned to receive high-risk prenatal care alone (not monitored) or to receive the same care with twice-daily home Uterine Activity Monitoring without increased nursing support (monitored). There were 339 women with singleton gestations randomized with caregivers blinded to group assignment. The two groups were medically and demographically similar at entry into the study. RESULTS: Women in the monitored group had prolonged pregnancy survival ( p = 0.02) and were less likely to experience a preterm delivery (relative risk 0.59; p = 0.04). Infants born to monitored women with singleton gestations were less likely to be of low birth weight ( p = 0.003), and were less likely to be admitted to a neonatal intensive care unit (relative risk 0.5, p = 0.01). CONCLUSION: These data show, among women with singleton gestations at high risk for preterm delivery, that the use of home Uterine Activity Monitoring alone, without additional intensive nursing care, results in improved pregnancy outcomes, including prolonged gestation, decreased risk for preterm delivery, larger-birth-weight infants, and a decreased need for neonatal intensive care. (Am J Obstet Gynecol 1996;175:1281-5.)

  • multicenter randomized clinical trial of horne Uterine Activity Monitoring for detection of preterrn labor
    American Journal of Obstetrics and Gynecology, 1991
    Co-Authors: Susan M Mou, Herbert L. Kayne, Shirazali G Sunderji, Stanley Gall, Helen How, Vinu Patel, Mark Gray, Michael J Corwin
    Abstract:

    Home Uterine Activity Monitoring has been described as an effective means of detecting Uterine contractions, but controversy exists whether it is home Uterine Activity Monitoring or increased nursing support in conjunction with it that contributes to earlier detection of preterm labor. In this study 377 women at risk for preterm labor from three centers were prospectively, randomly assigned to high-risk prenatal care alone (not monitored) or to the same care with twice-daily home Uterine Activity Monitoring without increased nursing support (monitored). The two groups were medically and demographically similar at entry into the study. Routine visits, nonroutine visits, and gestational age at diagnosis of preterm labor were similar in both groups. Preterm labor occurred in 41 of 198 monitored and 39 of 179 not monitored patients. Mean cervical dilatation was 1.4 cm in 41 monitored compared with 2.5 cm for 37 not monitored (p = 0.0006); 73.1% of monitored and 27.5% of not monitored had preterm labor detected before 2 cm dilatation (p = 0.00009). Neonatal outcome of singleton pregnancies showed greater birth weight, fewer days in the neonatal intensive care unit, and fewer babies requiring oxygen therapy and mechanical ventilation in the monitored group. The better outcomes are probably due to the increased likelihood of diagnosis of preterm labor before advanced cervical dilatation with home Uterine Activity Monitoring, thus providing the clinician with a better chance to initiate tocolytic therapy directed at improving pregnancy outcome.

Mary Pell Abernathy - One of the best experts on this subject based on the ideXlab platform.

  • a randomized comparison of home Uterine Activity Monitoring in the outpatient management of women treated for preterm labor
    American Journal of Obstetrics and Gynecology, 1999
    Co-Authors: Haywood L Brown, K A Britton, Edward J Brizendine, Kinney A Hiett, Denise Ingram, Mureena A Turnquest, Alan M Golichowski, Mary Pell Abernathy
    Abstract:

    Abstract Objective: The aim of the study was to evaluate home Uterine Activity Monitoring as an intervention in reducing the rate of preterm birth among women treated for preterm labor. Study Design: A total of 186 women were treated in the hospital with magnesium sulfate for preterm labor and were prospectively randomly assigned to study groups; among these, 162 were ultimately eligible for comparison. Eighty-two of these women were assigned to the monitored group and 80 were assigned to an unmonitored control group. Other than Monitoring, all women received identical prenatal follow-up, including daily perinatal telephone contact and oral terbutaline therapy. Outcome comparisons were primarily directed toward evaluation of preterm birth at

Kathy S Gookin - One of the best experts on this subject based on the ideXlab platform.

  • home Uterine Activity Monitoring
    Clinics in Perinatology, 1992
    Co-Authors: Washington C Hill, Kathy S Gookin
    Abstract:

    Despite tremendous improvements in maternal and neonatal care, preterm delivery remains the leading cause of infant mortality. Widespread use of tocolytics and aggressive preterm labor management have had little effect on reducing the overall neonatal mortality. To improve the success of tocolysis and preterm labor management, it is critical that preterm labor be diagnosed prior to significant cervical change. At present, a combination of several components is indicated for successful preterm birth prevention programs. These should include periodic risk assessment, patient education, cervical assessment, daily contact by highly skilled perinatal nurses, daily home Uterine Activity Monitoring, and aggressive patient management. Studies support that this approach results in early detection of preterm labor, subsequently more effective tocolytic therapy and prevention of preterm birth.