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Number of prenatal visits and pregnancy outcomes in low-risk women
OBJECTIVE: We investigated the association between number of prenatal visits (PNV) and pregnancy outcomes. STUDY DESIGN: A retrospective cohort of 12,092 consecutive, uncomplicated term births was included. Exclusion criteria included unknown or 3(rd) trimester pregnancy dating, pre-existing medical...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4767570/ https://www.ncbi.nlm.nih.gov/pubmed/26658123 http://dx.doi.org/10.1038/jp.2015.183 |
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author | CARTER, Ebony B. TUULI, Methodius G. CAUGHEY, Aaron B. ODIBO, Anthony O. MACONES, George A. CAHILL, Alison G. |
author_facet | CARTER, Ebony B. TUULI, Methodius G. CAUGHEY, Aaron B. ODIBO, Anthony O. MACONES, George A. CAHILL, Alison G. |
author_sort | CARTER, Ebony B. |
collection | PubMed |
description | OBJECTIVE: We investigated the association between number of prenatal visits (PNV) and pregnancy outcomes. STUDY DESIGN: A retrospective cohort of 12,092 consecutive, uncomplicated term births was included. Exclusion criteria included unknown or 3(rd) trimester pregnancy dating, pre-existing medical conditions, and common pregnancy complications. Patients with ≤10 PNV were compared to those with > 10. The primary outcome was a neonatal composite including NICU admission, low APGAR score (<7), low umbilical cord pH (<7.10), and neonatal demise. Secondary outcomes included components of the composite as well as vaginal delivery, induction and cesarean delivery. Logistic regression was used to adjust for potential confounders. RESULTS: Of 7256 patients in the cohort meeting inclusion criteria, 30% (N=2163) had >10 PNV and the remaining 70% (N=5093) had ≤10. There was no difference in the neonatal composite between the two groups. However, women with > 10 PNV were more likely to undergo induction of labor and cesarean delivery. CONCLUSION: Low-risk women with ≥ 10 PNV had higher rates of pregnancy interventions without improvement in neonatal outcomes. |
format | Online Article Text |
id | pubmed-4767570 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
record_format | MEDLINE/PubMed |
spelling | pubmed-47675702016-06-10 Number of prenatal visits and pregnancy outcomes in low-risk women CARTER, Ebony B. TUULI, Methodius G. CAUGHEY, Aaron B. ODIBO, Anthony O. MACONES, George A. CAHILL, Alison G. J Perinatol Article OBJECTIVE: We investigated the association between number of prenatal visits (PNV) and pregnancy outcomes. STUDY DESIGN: A retrospective cohort of 12,092 consecutive, uncomplicated term births was included. Exclusion criteria included unknown or 3(rd) trimester pregnancy dating, pre-existing medical conditions, and common pregnancy complications. Patients with ≤10 PNV were compared to those with > 10. The primary outcome was a neonatal composite including NICU admission, low APGAR score (<7), low umbilical cord pH (<7.10), and neonatal demise. Secondary outcomes included components of the composite as well as vaginal delivery, induction and cesarean delivery. Logistic regression was used to adjust for potential confounders. RESULTS: Of 7256 patients in the cohort meeting inclusion criteria, 30% (N=2163) had >10 PNV and the remaining 70% (N=5093) had ≤10. There was no difference in the neonatal composite between the two groups. However, women with > 10 PNV were more likely to undergo induction of labor and cesarean delivery. CONCLUSION: Low-risk women with ≥ 10 PNV had higher rates of pregnancy interventions without improvement in neonatal outcomes. 2015-12-10 2016-03 /pmc/articles/PMC4767570/ /pubmed/26658123 http://dx.doi.org/10.1038/jp.2015.183 Text en http://www.nature.com/authors/editorial_policies/license.html#terms Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:http://www.nature.com/authors/editorial_policies/license.html#terms |
spellingShingle | Article CARTER, Ebony B. TUULI, Methodius G. CAUGHEY, Aaron B. ODIBO, Anthony O. MACONES, George A. CAHILL, Alison G. Number of prenatal visits and pregnancy outcomes in low-risk women |
title | Number of prenatal visits and pregnancy outcomes in low-risk women |
title_full | Number of prenatal visits and pregnancy outcomes in low-risk women |
title_fullStr | Number of prenatal visits and pregnancy outcomes in low-risk women |
title_full_unstemmed | Number of prenatal visits and pregnancy outcomes in low-risk women |
title_short | Number of prenatal visits and pregnancy outcomes in low-risk women |
title_sort | number of prenatal visits and pregnancy outcomes in low-risk women |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4767570/ https://www.ncbi.nlm.nih.gov/pubmed/26658123 http://dx.doi.org/10.1038/jp.2015.183 |
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