1
40
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Text
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URL Address
<a href="http://doi.org/10.1055/s-0039-1696641" target="_blank" rel="noreferrer noopener">http://doi.org/10.1055/s-0039-1696641</a>
Pages
357-364
Issue
4
Volume
37
ISSN
1098-8785 0735-1631 0735-1631
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Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1055/s-0039-1696641" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1055/s-0039-1696641</a>
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Update Year & Number
Hospital List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Association Between Features of Spontaneous Late Preterm Labor and Late Preterm Birth.
Publisher
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American Journal of Perinatology
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-03
Subject
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Humans; Pregnancy; Female; Risk Factors; Logistic Models; Infant Newborn; Sensitivity and Specificity; Prognosis; Gestational Age; Premature Birth; Glucocorticoids/administration & dosage; Pregnancy Trimester Third; Labor Stage First; Obstetric Labor Premature; Betamethasone/administration & dosage; Cervix Uteri; Parity; Respiratory Tract Diseases/prevention & control
Creator
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Glover AV; Battarbee AN; Gyamfi-Bannerman C; Boggess KA; Sandoval G; Blackwell SC; Tita ATN; Reddy UM; Jain L; Saade GR; Rouse DJ; Iams JD; Clark EAS; Chien EK; Peaceman AM; Gibbs RS; Swamy GK; Norton ME; Casey BM; Caritis SN; Tolosa JE; Sorokin Y; Manuck TA
Description
An account of the resource
OBJECTIVE: This study aimed to evaluate the association between clinical and examination features at admission and late preterm birth. STUDY DESIGN: The present study is a secondary analysis of a randomized trial of singleton pregnancies at 34(0/7) to 36(5/7) weeks' gestation. We included women in spontaneous preterm labor with intact membranes and compared them by gestational age at delivery (preterm vs. term). We calculated a statistical cut-point optimizing the sensitivity and specificity of initial cervical dilation and effacement at predicting preterm birth and used multivariable regression to identify factors associated with late preterm delivery. RESULTS: A total of 431 out of 732 (59%) women delivered preterm. Cervical dilation ≥ 4 cm was 60% sensitive and 68% specific for late preterm birth. Cervical effacement ≥ 75% was 59% sensitive and 65% specific for late preterm birth. Earlier gestational age at randomization, nulliparity, and fetal malpresentation were associated with late preterm birth. The final regression model including clinical and examination features significantly improved late preterm birth prediction (81% sensitivity, 48% specificity, area under the curve = 0.72, 95% confidence interval [CI]: 0.68-0.75, and p-value < 0.01). CONCLUSION: Four in 10 women in late-preterm labor subsequently delivered at term. Combination of examination and clinical features (including parity and gestational age) improved late-preterm birth prediction.
Identifier
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<a href="http://doi.org/10.1055/s-0039-1696641" target="_blank" rel="noreferrer noopener">10.1055/s-0039-1696641</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
American Journal of Perinatology
Battarbee AN
Betamethasone/administration & dosage
Blackwell SC
Boggess KA
Caritis SN
Casey BM
Cervix Uteri
Chien EK
Clark EAS
Female
Gestational Age
Gibbs RS
Glover AV
Glucocorticoids/administration & dosage
Gyamfi-Bannerman C
Hospital List
Humans
Iams JD
Infant Newborn
Jain L
journalArticle
Labor Stage First
Logistic Models
Manuck TA
Norton ME
Obstetric Labor Premature
Parity
Peaceman AM
Pregnancy
Pregnancy Trimester Third
Premature Birth
Prognosis
Reddy UM
Respiratory Tract Diseases/prevention & control
Risk Factors
Rouse DJ
Saade GR
Sandoval G
Sensitivity and Specificity
Sorokin Y
Swamy GK
Tita ATN
Tolosa JE
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/aog.0000000000004055" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/aog.0000000000004055</a>
Pages
692-697
Issue
4
Volume
136
ISSN
1873-233X 0029-7844 0029-7844
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1097/aog.0000000000004055" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1097/aog.0000000000004055</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
Hospital List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Elective Labor Induction at 39 Weeks of Gestation Compared With Expectant Management: Factors Associated With Adverse Outcomes in Low-Risk Nulliparous Women.
Publisher
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Obstetrics and Gynecology
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-10
Creator
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El-Sayed YY; Rice MM; Grobman William A; Reddy UM; Tita ATN; Silver RM; Mallett Gail; Hill Kim; Thom EA; Wapner RJ; Rouse DJ; Saade GR; Thorp JM; Chauhan SP; Chien EK; Casey BM; Gibbs RS; Srinivas SK; Swamy GK; Simhan HN; Macones GA
Description
An account of the resource
OBJECTIVE: To evaluate characteristics associated with adverse outcomes in low-risk nulliparous women randomized to elective labor induction at 39 weeks of gestation or expectant management. METHODS: We conducted a secondary analysis of women randomized during the 38th week to induction at 39 weeks of gestation or expectant management. Deliveries before 39 weeks of gestation and those not adherent to study protocol or with fetal anomalies were excluded. A composite of adverse outcomes (perinatal death or severe neonatal complications), third- or fourth-degree lacerations, and postpartum hemorrhage were evaluated. Log binomial regression models estimated relative risks and 95% CIs for associations of outcomes with patient characteristics including randomly assigned treatment group. Interactions between patient characteristics and treatment group were tested. RESULTS: Of 6,096 women with outcome data, 5,007 (82.1%) met criteria for inclusion in this analysis. Frequency of the perinatal composite was 252 (5.0%), 166 (3.3%) for third- or fourth-degree perineal laceration, and 237 (4.7%) for postpartum hemorrhage. In multivariable analysis, intended labor induction at 39 weeks of gestation was associated with a reduced perinatal composite outcome (4.1% vs 6.0%; adjusted relative risk [aRR] 0.71; 95% CI 0.55-0.90), whereas increasing body mass index (BMI) was associated with an increased perinatal composite outcome (aRR 1.04/unit increase; 95% CI 1.02-1.05). Decreased risk of third- or fourth-degree perineal laceration was observed with increasing BMI (aRR 0.96/unit increase; 95% CI 0.93-0.98) and in Black women compared with White women (1.2% vs 3.9%; aRR 0.34; 95% CI 0.19-0.60). Increased risk of postpartum hemorrhage was observed in Hispanic women compared with White women (6.3% vs 4.0%; aRR 1.64; 95% CI 1.18-2.29). Patient characteristics associated with adverse outcomes were similar between treatment groups (P for interaction >.05). CONCLUSION: Compared with expectant management, intended induction at 39 weeks of gestation was associated with reduced risk of adverse perinatal outcome. Patient characteristics associated with adverse outcomes were few and similar between groups. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT01990612.
Identifier
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<a href="http://doi.org/10.1097/aog.0000000000004055" target="_blank" rel="noreferrer noopener">10.1097/aog.0000000000004055</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Format
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journalArticle
2020
Casey BM
Chauhan SP
Chien EK
El-Sayed YY
Gibbs RS
Grobman William A
Hill Kim
Hospital List
journalArticle
Macones GA
Mallett Gail
Obstetrics and gynecology
Reddy UM
Rice MM
Rouse DJ
Saade GR
Silver RM
Simhan HN
Srinivas SK
Swamy GK
Thom EA
Thorp JM
Tita ATN
Wapner RJ