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Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?

OBJECTIVES: The QUiPP application is used to predict the risk of recurrent preterm birth (PTB) in asymptomatic high risk women with a previous PTB. Our study aims to evaluate the impact of the use of the QUiPP app on maternal anxiety levels. STUDY DESIGN: A retrospective cohort study on asymptomatic...

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Autores principales: Petch, Sarah, DeMaio, Alison, Daly, Sean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817671/
https://www.ncbi.nlm.nih.gov/pubmed/31673690
http://dx.doi.org/10.1016/j.eurox.2019.100064
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author Petch, Sarah
DeMaio, Alison
Daly, Sean
author_facet Petch, Sarah
DeMaio, Alison
Daly, Sean
author_sort Petch, Sarah
collection PubMed
description OBJECTIVES: The QUiPP application is used to predict the risk of recurrent preterm birth (PTB) in asymptomatic high risk women with a previous PTB. Our study aims to evaluate the impact of the use of the QUiPP app on maternal anxiety levels. STUDY DESIGN: A retrospective cohort study on asymptomatic pregnant women attending the Prevention of Preterm Birth Clinic in a busy tertiary unit. Women included in the study had a history of previous PTB. The study assessment occurred at approximately 4 weeks prior to the gestation of the earliest previous PTB and included measurement of cervical length and vaginal fetal fibronectin. Data was inputted into the QUiPP application, which in turn estimated risk of preterm delivery at specific intervals. Measured outcomes were gestation at delivery, time from risk assessment to delivery, infant birth weight, NICU admission and length of stay. In addition, maternal anxiety levels were retrospectively assessed using a questionnaire with a Likert scale. RESULTS: Seventy six women were included in the study. All women were asymptomatic for preterm labour at assessment. The mean gestation at the time of risk assessment was 27 weeks, the mean time from risk assessment to delivery was 72 days. Average gestation at time of delivery was 37 weeks (range 22–42 weeks). The preterm birth rate was 29% (n = 22).Seventy seven percent of women who delivered <37 weeks, and 80% who delivered <34 weeks were given QUiPP scores predicting a ≥5% chance of PTB within four weeks of their actual delivery date. Sixteen percent of infants were admitted to NICU (n = 12) with a mean length of stay of 21 days. All infants went home well with their parents. Eighty four percent of respondents to our questionnaire reported feeling anxious about their pregnancy prior to attending the clinic. After receiving a QUIPP score 90% said they felt reassured and 79% reported that the felt less anxious. CONCLUSION: In asymptomatic women, the use of the QUiPP app helps to predict, prevent, and optimise PTB. This surveillance has a beneficial role for maternal mental well-being in that it reduces anxiety at a key time during a pregnancy.
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spelling pubmed-68176712019-10-31 Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure? Petch, Sarah DeMaio, Alison Daly, Sean Eur J Obstet Gynecol Reprod Biol X Obstetrics and Maternal Fetal Medicine OBJECTIVES: The QUiPP application is used to predict the risk of recurrent preterm birth (PTB) in asymptomatic high risk women with a previous PTB. Our study aims to evaluate the impact of the use of the QUiPP app on maternal anxiety levels. STUDY DESIGN: A retrospective cohort study on asymptomatic pregnant women attending the Prevention of Preterm Birth Clinic in a busy tertiary unit. Women included in the study had a history of previous PTB. The study assessment occurred at approximately 4 weeks prior to the gestation of the earliest previous PTB and included measurement of cervical length and vaginal fetal fibronectin. Data was inputted into the QUiPP application, which in turn estimated risk of preterm delivery at specific intervals. Measured outcomes were gestation at delivery, time from risk assessment to delivery, infant birth weight, NICU admission and length of stay. In addition, maternal anxiety levels were retrospectively assessed using a questionnaire with a Likert scale. RESULTS: Seventy six women were included in the study. All women were asymptomatic for preterm labour at assessment. The mean gestation at the time of risk assessment was 27 weeks, the mean time from risk assessment to delivery was 72 days. Average gestation at time of delivery was 37 weeks (range 22–42 weeks). The preterm birth rate was 29% (n = 22).Seventy seven percent of women who delivered <37 weeks, and 80% who delivered <34 weeks were given QUiPP scores predicting a ≥5% chance of PTB within four weeks of their actual delivery date. Sixteen percent of infants were admitted to NICU (n = 12) with a mean length of stay of 21 days. All infants went home well with their parents. Eighty four percent of respondents to our questionnaire reported feeling anxious about their pregnancy prior to attending the clinic. After receiving a QUIPP score 90% said they felt reassured and 79% reported that the felt less anxious. CONCLUSION: In asymptomatic women, the use of the QUiPP app helps to predict, prevent, and optimise PTB. This surveillance has a beneficial role for maternal mental well-being in that it reduces anxiety at a key time during a pregnancy. Elsevier 2019-06-07 /pmc/articles/PMC6817671/ /pubmed/31673690 http://dx.doi.org/10.1016/j.eurox.2019.100064 Text en © 2019 Published by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Obstetrics and Maternal Fetal Medicine
Petch, Sarah
DeMaio, Alison
Daly, Sean
Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?
title Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?
title_full Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?
title_fullStr Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?
title_full_unstemmed Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?
title_short Prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?
title_sort prediction of recurrent preterm delivery in asymptomatic women- an anxiety reducing measure?
topic Obstetrics and Maternal Fetal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6817671/
https://www.ncbi.nlm.nih.gov/pubmed/31673690
http://dx.doi.org/10.1016/j.eurox.2019.100064
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