Reducing preterm birth by a statewide multifaceted program: an implementation study.
John P. Newnham,John P. Newnham,Scott W. White,Scott W. White,Suzanne Meharry,Han-Shin Lee,Michelle K. Pedretti,Catherine A. Arrese,Jeffrey A. Keelan,Matthew W. Kemp,Jan E. Dickinson,Jan E. Dickinson,Dorota A. Doherty +12 more
TLDR
A comprehensive and multifaceted preterm birth prevention program aimed at both health care practitioners and the general public, operating within the environment of a government‐funded universal health care system can significantly lower the rate of early birth.About:
This article is published in American Journal of Obstetrics and Gynecology.The article was published on 2017-05-01 and is currently open access. It has received 77 citations till now. The article focuses on the topics: Cohort study & Referral.read more
Citations
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Journal ArticleDOI
Vaginal Progesterone for Preventing Preterm Birth and Adverse Perinatal Outcomes in Singleton Gestations with a Short Cervix: A Meta-Analysis of Individual Patient Data
Roberto Romero,Agustin Conde-Agudelo,Eduardo Ribeiro da Fonseca,John M. O'Brien,Elcin Cetingoz,George W. Creasy,Sonia S. Hassan,Kypros H. Nicolaides +7 more
TL;DR: Vaginal progesterone decreases the risk of preterm birth and improves perinatal outcomes in singleton gestations with a midtrimester sonographic short cervix, without any demonstrable deleterious effects on childhood neurodevelopment.
Journal ArticleDOI
Timing of Elective Repeat Cesarean Delivery at Term and Neonatal Outcomes
Alan T.N. Tita,Mark B. Landon,Catherine Y. Spong,Yinglei Lai,Kenneth J. Leveno,Michael W. Varner,Atef H. Moawad,S. N. Caritis,Paul J. Meis,Ronald J. Wapner,Yoram Sorokin,Menachem Miodovnik,Marshall W. Carpenter,Alan M. Peaceman,M.J. OʼSullivan,Bahaeddine M Sibai,Oded Langer,John M. Thorp,Susan M. Ramin,Brian M. Mercer +19 more
Journal ArticleDOI
Vaginal progesterone is as effective as cervical cerclage to prevent preterm birth in women with a singleton gestation, previous spontaneous preterm birth, and a short cervix: updated indirect comparison meta-analysis.
Agustin Conde-Agudelo,Roberto Romero,Eduardo Ribeiro da Fonseca,John M. O'Brien,Elcin Cetingoz,George W. Creasy,Sonia S. Hassan,Offer Erez,Percy Pacora,Kypros H. Nicolaides +9 more
TL;DR: The efficacy of vaginal progesterone has been challenged after publication of the OPPTIMUM study, but this has been resolved by an individual patient‐data meta‐analysis andadjusted indirect comparison meta‐analyses did not show statistically significant differences in the reduction of preterm birth or adverse perinatal outcomes.
Journal ArticleDOI
Evidence that antibiotic administration is effective in the treatment of a subset of patients with intra-amniotic infection/inflammation presenting with cervical insufficiency.
Kyung Joon Oh,Roberto Romero,Jee Yoon Park,JoonHo Lee,Agustin Conde-Agudelo,Joon Seok Hong,Bo Hyun Yoon +6 more
TL;DR: In patients with cervical insufficiency and intra-amniotic infection/inflammation, administration of antibiotics was followed by resolution of the intra-emniotic inflammatory process or intra-ammiotic infection in 75% of patients and was associated with treatment success in about 60% of cases.
Journal ArticleDOI
Screening for spontaneous preterm birth and resultant therapies to reduce neonatal morbidity and mortality: A review.
TL;DR: The current evidence and approaches to screening women for preterm birth are reviewed, future directions for clinical practice are examined, and further research is necessary to better identify at-risk women and provide evidence-based management.
References
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Journal ArticleDOI
Preterm labor: One syndrome, many causes
TL;DR: The current understanding of the mechanisms of disease implicated in preterm labor are summarized and advances relevant to intra-amniotic infection, decidual senescence, and breakdown of maternal-fetal tolerance are reviewed.
Journal ArticleDOI
Timing of Elective Repeat Cesarean Delivery at Term and Neonatal Outcomes
Alan T.N. Tita,Mark B. Landon,Catherine Y. Spong,Yinglei Lai,Kenneth J. Leveno,Michael W. Varner,Atef H. Moawad,Steve N. Caritis,Paul J. Meis,Ronald J. Wapner,Yoram Sorokin,Menachem Miodovnik,Menachem Miodovnik,Marshall W. Carpenter,Alan M. Peaceman,Mary Jo O'Sullivan,Bahaeddine M Sibai,Oded Langer,John M. Thorp,Susan M. Ramin,Brian M. Mercer +20 more
TL;DR: Elective repeat cesarean delivery before 39 weeks of gestation is common and is associated with respiratory and other adverse neonatal outcomes.
Journal ArticleDOI
Vaginal progesterone in women with an asymptomatic sonographic short cervix in the midtrimester decreases preterm delivery and neonatal morbidity: a systematic review and metaanalysis of individual patient data
Roberto Romero,Kypros H. Nicolaides,Agustin Conde-Agudelo,Ann Tabor,Ann Tabor,John M. O'Brien,Elcin Cetingoz,Eduardo Ribeiro da Fonseca,George W. Creasy,Katharina Klein,Line Rode,Priya Soma-Pillay,Shalini Fusey,Cetin Cam,Zarko Alfirevic,Sonia S. Hassan,Sonia S. Hassan +16 more
TL;DR: Vaginal progesterone administration to asymptomatic women with a sonographic short cervix in the midtrimester reduces the risk of preterm birth and neonatal morbidity and mortality.
Journal ArticleDOI
Preventing preterm births: analysis of trends and potential reductions with interventions in 39 countries with very high human development index.
Hannah H Chang,Jim Larson,Hannah Blencowe,Catherine Y. Spong,Christopher P Howson,Sarah Cairns-Smith,Eve M. Lackritz,Shoo K. Lee,Elizabeth Mason,Andrew C Serazin,Salimah R. Walani,Joe Leigh Simpson,Joy E Lawn +12 more
TL;DR: The findings highlight the urgent need for research into underlying mechanisms of preterm births, and development of innovative interventions, and recommend a conservative target of a relative reduction in preterm birth rates of 5% by 2015.
Journal ArticleDOI
The run chart: a simple analytical tool for learning from variation in healthcare processes
TL;DR: An analytical tool commonly used by professionals in quality improvement but underutilised in healthcare, the run chart has wide potential application in healthcare for practitioners and decision-makers.
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Vaginal progesterone reduces the rate of preterm birth in women with a sonographic short cervix: a multicenter, randomized, double-blind, placebo-controlled trial
Sonia S. Hassan,Sonia S. Hassan,Roberto Romero,Roberto Romero,Roberto Romero,D. Vidyadhari,S. Fusey,Jason K. Baxter,Meena Khandelwal,J. Vijayaraghavan,Y. Trivedi,Priya Soma-Pillay,P. Sambarey,Ashlesha K. Dayal,V. Potapov,John M. O'Brien,John M. O'Brien,V. Astakhov,O. Yuzko,W. Kinzler,B. Dattel,H. Sehdev,L. Mazheika,D. Manchulenko,M. T. Gervasi,Lisa M. Sullivan,Agustin Conde-Agudelo,James A. Phillips,George W. Creasy +28 more