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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 203 - 209 (7page)
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Objective This study aimed to examine clinical practice patterns in the management of pregnant women admitted with threatened preterm labor (TPL) in Korea.
Methods Data from women admitted with a diagnosis of TPL were collected from 22 hospitals. TPL was defined as regular uterine contractions with or without other symptoms such as pelvic pressure, backache, increased vaginal discharge, menstrual-like cramps, bleeding/show and cervical changes. Data on general patient information, clinical characteristics at admission, use of tocolytics, antibiotics, and corticosteroids, and pregnancy outcomes were collected using an online data collections system.
Results A total of 947 women with TPL were enrolled. First-line tocolysis was administered to 822 (86.8%) patients. As a first-line tocolysis, beta-agonists were used most frequently (510/822, 62.0%), followed by magnesium sulfate (183/822, 22.3%), calcium channel blockers (91/822, 11.1%), and atosiban (38/822, 4.6%). Of the 822 women with first-line tocolysis, second-line tocolysis were required in 364 (44.3%). Of 364 with second-line, 199 had third-line tocolysis (37.4%). Antibiotics were administered to 29.9% of patients (284/947) with single (215, 22.7%), dual (26, 2.7%), and triple combinations (43, 4.5%). Corticosteroids were administered to 420 (44.4%) patients. Betamethasone was administered to 298 patients (71.0%), and dexamethasone was administered to 122 patients (29.0%).
Conclusion Practice patterns in the management of TPL in Korea were quite various. It is needed to develop standardized practice guidelines for TPL management.
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참고문헌 (19)
참고문헌 신청
American College of Obstetricians and Gynecologists / 2012 / ACOG practice bulletin no. 127 : management of preterm labor / Obstet Gynecol 119 : 1308 ~ 1317
Brownfoot FC. / 2013 / Different corticosteroids and regimens for accelerating fetal lung maturation for women at risk of preterm birth / Cochrane Database Syst Rev 8 : CD00
Copper RL. / 1990 / Warning symptoms, uterine contractions, and cervical examination findings in women at risk of preterm delivery / Am J Obstet Gynecol 162 : 748 ~ 754
DeFranco EA. / 2013 / Improving the screening accuracy for preterm labor: is the combination of fetal fibronectin and cervical length in symptomatic patients a useful predic
Diguisto C. / 2012 / Individual and organisational determinants associated with maintenance tocolysis in the management of preterm labour: a multilevel analysis / PLoS One 7
Brownfoot FC. / 2013 / Different corticosteroids and regimens for accelerating fetal lung maturation for women at risk of preterm birth / Cochrane Database Syst Rev 8 : CD00
Copper RL. / 1990 / Warning symptoms, uterine contractions, and cervical examination findings in women at risk of preterm delivery / Am J Obstet Gynecol 162 : 748 ~ 754
DeFranco EA. / 2013 / Improving the screening accuracy for preterm labor: is the combination of fetal fibronectin and cervical length in symptomatic patients a useful predic
Diguisto C. / 2012 / Individual and organisational determinants associated with maintenance tocolysis in the management of preterm labour: a multilevel analysis / PLoS One 7
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