dc.contributor.author |
Dawes, Lisa |
|
dc.contributor.author |
Groom, Katie |
|
dc.contributor.author |
Jordan, Vanessa |
|
dc.contributor.author |
Waugh, Jason |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2023-06-21T04:39:42Z |
|
dc.date.available |
2023-06-21T04:39:42Z |
|
dc.date.issued |
2020-01 |
|
dc.identifier.citation |
(2020). BMC Pregnancy and Childbirth, 20(1), 58-. |
|
dc.identifier.issn |
1471-2393 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/64354 |
|
dc.description.abstract |
BACKGROUND:Specialised preterm birth clinics care for women at high risk of spontaneous preterm birth. This systematic review assesses current practice within preterm birth clinics globally. METHODS:A comprehensive search strategy was used to identify all studies on preterm birth clinics on the MEDLINE, Embase, PsycINFO, CENTRAL and CINAHL databases. There were no restrictions to study design. Studies were limited to the English language and publications from 1998 onwards. Two reviewers assessed studies for inclusion, performed data extraction and reviewed methodological quality. Primary outcomes were referral criteria, investigations and interventions offered in preterm birth clinics. Secondary outcomes were the timing of planned first and last appointments and frequency of review. RESULTS:Thirty-two records fulfilled eligibility criteria and 20 studies were included in the main analysis following grouping of records describing the same study or clinic. Studies were of mixed study design and methodological quality. A total of 39 clinics were described; outcome data was not available for all clinics. Referral criteria included previous spontaneous preterm birth (38/38, 100%), previous mid-trimester loss (34/38, 89%) and previous cervical surgery (33/38, 87%). All clinics offered transvaginal cervical length scans. Additional investigations varied, including urogenital swabs (16/28, 57%) and fetal fibronectin (8/28, 29%). The primary treatment of choice for a sonographic short cervix was cervical cerclage in 10/33 (30%) clinics and vaginal progesterone in 6/33 (18%), with 10/33 (30%) using multiple first-line options and 6/33 (18%) using a combination of treatments. The majority of clinics planned timing of first review for 12-16 weeks (30/35, 86%) and the frequency of review was usually determined by clinical findings (18/24, 75%). There was a wide variation in gestational age at clinic discharge between 24 and 37 weeks. CONCLUSIONS:There is variation in the referral criteria, investigations and interventions offered in preterm birth clinics and in the timing and frequency of review. Consistency in practice may improve with the introduction of consensus guidelines and national preterm birth prevention programmes. TRIAL REGISTRATION:Systematic review registration number: CRD42019131470. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
Springer Nature |
|
dc.relation.ispartofseries |
BMC pregnancy and childbirth |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Premature Birth |
|
dc.subject |
Pregnancy Outcome |
|
dc.subject |
Clinical Protocols |
|
dc.subject |
Perinatal Care |
|
dc.subject |
Pregnancy |
|
dc.subject |
Pregnancy, High-Risk |
|
dc.subject |
Adult |
|
dc.subject |
Infant, Newborn |
|
dc.subject |
Outpatient Clinics, Hospital |
|
dc.subject |
Female |
|
dc.subject |
Cervical Length Measurement |
|
dc.subject |
Secondary Prevention |
|
dc.subject |
Outcome Assessment, Health Care |
|
dc.subject |
Preterm birth prevention clinic |
|
dc.subject |
Specialised preterm birth clinic |
|
dc.subject |
Spontaneous preterm birth |
|
dc.subject |
Prevention |
|
dc.subject |
Perinatal Period - Conditions Originating in Perinatal Period |
|
dc.subject |
Pediatric |
|
dc.subject |
Clinical Research |
|
dc.subject |
Patient Safety |
|
dc.subject |
Infant Mortality |
|
dc.subject |
Health Services |
|
dc.subject |
Contraception/Reproduction |
|
dc.subject |
Preterm, Low Birth Weight and Health of the Newborn |
|
dc.subject |
Reproductive health and childbirth |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Obstetrics & Gynecology |
|
dc.subject |
QUANTITATIVE FETAL FIBRONECTIN |
|
dc.subject |
CERVICAL LENGTH |
|
dc.subject |
ASYMPTOMATIC WOMEN |
|
dc.subject |
PREGNANT-WOMEN |
|
dc.subject |
LABOR |
|
dc.subject |
CERCLAGE |
|
dc.subject |
VALIDATION |
|
dc.subject |
DELIVERY |
|
dc.subject |
OUTCOMES |
|
dc.subject |
PESSARY |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1114 Paediatrics and Reproductive Medicine |
|
dc.subject |
Clinical |
|
dc.subject |
Health Services Research |
|
dc.subject |
1110 Nursing |
|
dc.title |
The use of specialised preterm birth clinics for women at high risk of spontaneous preterm birth: a systematic review. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1186/s12884-020-2731-7 |
|
pubs.issue |
1 |
|
pubs.begin-page |
58 |
|
pubs.volume |
20 |
|
dc.date.updated |
2023-05-25T00:27:59Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
31996173 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/31996173 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Systematic Review |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
793611 |
|
pubs.org-id |
Liggins Institute |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Obstetrics and Gynaecology |
|
dc.identifier.eissn |
1471-2393 |
|
dc.identifier.pii |
10.1186/s12884-020-2731-7 |
|
pubs.number |
58 |
|
pubs.record-created-at-source-date |
2023-05-25 |
|
pubs.online-publication-date |
2020-01-29 |
|