The Effects of Hospital Admission for Bed Rest on the Duration of Twin Pregnancy: A Randomised Trial

Saunders, MichaelC.; Dick, J. S.; Brown, I. McL.; McPherson, Klim; Chalmers, Iain

doi:10.1016/s0140-6736(85)90792-5

Cited by 96 publications

(28 citation statements)

References 6 publications

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“…Other studies have shown the ineffectiveness of prolonged prophylactic hospitalization in the management of twin gestations prior to the onset of complications. 22,23,24 In summary, the current study reveals that SQT usage in the home for patients at risk for early delivery offers a significant advantage when compared to prolonged hospitalization for tocolytic therapy. Because of the increased gestational age at delivery and fewer low birth weight infants, there were significantly lower costs associated with the care of these women compared to those managed in the hospital.…”

Section: Significancementioning

confidence: 78%

Clinical and Economic Outcomes of Preterm Labor Management: Inpatient vs Outpatient

Ambrose

Rhea²,

Istwan³

et al. 2004

J Perinatol

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OBJECTIVE:To compare pregnancy and economic outcomes in women receiving inpatient vs outpatient tocolysis with continuous subcutaneous terbutaline (SQT). STUDY DESIGN:Identified within a database were women prescribed SQT at 24.0 to 33.9 weeks' gestation following stabilization of an acute episode of preterm labor. Women with cervical dilatation >3 cm, and/or maternal or fetal instability were excluded. Those with prolonged inpatient care were matched 1:1 to those discharged with outpatient follow-up by cervical dilatation, gestational age, and fetal number yielding 90 matched pairs (180 women). RESULTS:Inpatients had an earlier gestational age at delivery (34.1±2.9 vs 35.8±1.9 weeks, p<0.001), higher preterm birth rate (86.7% vs 74.4%, p ¼ 0.043) and higher overall costs ($56,089±$47,944 vs $25,540±$25,847, p<0.001) than outpatients. CONCLUSION:Outpatient management resulted in improved pregnancy outcomes at a cost less than that of inpatient management in this analysis of women treated with SQT.

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Section: Significancementioning

confidence: 78%

Clinical and Economic Outcomes of Preterm Labor Management: Inpatient vs Outpatient

Ambrose

Rhea²,

Istwan³

et al. 2004

J Perinatol

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“…When the totality of relevant evidence requiring review is small, this does not present any great problems 15. When, as is increasingly the case, there is a large amount of existing evidence, journal editors are confronted with a dilemma.…”

Section: Reporting Systematic Reviews Of the Effects Of Health Carementioning

confidence: 99%

Systematic Reviews: Reporting, updating, and correcting systematic reviews of the effects of health care

Chalmers

Haynes

1994

BMJ

153

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The recent growth in the numbers of published systematic reviews reflects growing recognition of their importance for improving knowledge about the effects of health care. In Britain the NHS R&D Programme has established two centres to prepare systematic reviews of existing information, and the Cochrane Collaboration--an international network of individuals and institutions--evolved to produce systematic, periodically updated reviews of randomised controlled trials. The large amount of existing evidence that needs to be considered creates a problem for the reporting of systematic reviews: the need to ensure that methods and results of systematic reviews are adequately described has to be reconciled with the limited space available in printed journals. A possible solution is the use of electronic publications: reviews could be published simultaneously in a short, printed form and in a more detailed electronic form. Electronic publications also have the advantage of the ease with which reviews may be updated as new evidence becomes available or mistakes are identified.

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“…Indeed, "…evidence is accumulating that rest may even increase premature labour" (Thornton and Rout 1990 ; see also Andrews et al 1991 ) . Although Cesarean section rates have increased from 3% (1963-1972) to 51% (1978-1984), Bell et al ( 1986 ) were unable to show that even this modality of care improved the condition of twins at birth (see also Saunders et al 1985 , andGreig et al 1992 ) . Only attendance at prenatal twin care clinics seemed to have had a bene fi cial effect on outcome (Ellings et al 1993 ) .…”

Section: Morbidity and Mortalitymentioning

confidence: 99%

Multiple Pregnancies

Benirschke¹,

Burton²,

Baergen³

2012

Pathology of the Human Placenta

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The Effects of Hospital Admission for Bed Rest on the Duration of Twin Pregnancy: A Randomised Trial

Cited by 96 publications

References 6 publications

Clinical and Economic Outcomes of Preterm Labor Management: Inpatient vs Outpatient

Clinical and Economic Outcomes of Preterm Labor Management: Inpatient vs Outpatient

Systematic Reviews: Reporting, updating, and correcting systematic reviews of the effects of health care

Multiple Pregnancies

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