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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...

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Autores principales: CARTER, Ebony B., TUULI, Methodius G., CAUGHEY, Aaron B., ODIBO, Anthony O., MACONES, George A., CAHILL, Alison G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2015
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.
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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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