Specialized care for twin gestations: improving newborn outcomes and reducing costs.
Specialized care for twin gestations: improving newborn outcomes and reducing costs.
复制标题
双胎妊娠的专业护理：改善新生儿结局并降低成本。
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
Amy Black Johnston
中科院分区：
文献类型：
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作者：
R. Ruiz;Charles E. L. Brown;Mark T. Peters;Amy Black Johnston
目的
比较双胞胎的新生儿结局和住院费用，双胞胎的母亲在专门的双胞胎诊所接受基于研究的护理协议和一个一致的照顾者与双胞胎的母亲接受标准的产前护理。
设计和设置
在德克萨斯州中部的一家高危产科诊所进行的回顾性历史队列研究。
患者
30名怀双胞胎的妇女得到了专门护理。对照组由41名接受标准护理的双胞胎孕妇组成。
干预措施
一名高级实习护士提供产前护理，包括每周门诊、家访和24小时电话支持。
观察指标
出生时的胎龄、出生体重、在新生儿重症监护室（NICU）的住院时间以及新生儿的住院费用。
结果
在专门护理组中，没有妊娠少于30周的新生儿出生，平均出生体重高出249 g（SD +/- 77），新生儿重症监护室的天数从平均17天减少到7天，每个婴儿的住院费用减少了30，000美元。
结论
母亲在专门的双胞胎诊所接受护理的新生儿的新生儿结局得到改善，住院时间和住院费用显著减少。
OBJECTIVE
To compare newborn outcomes and costs of hospital stays for twins born to mothers receiving care in a specialized twin clinic with a research-based care protocol and one consistent caregiver versus twins whose mothers received standard prenatal care.
DESIGN AND SETTING
A retrospective, historical cohort study conducted in a high-risk obstetric clinic in central Texas.
PATIENTS
Thirty women pregnant with twins received specialized care. The comparison group consisted of 41 women pregnant with twins who received standard care.
INTERVENTIONS
An advanced practice nurse provided prenatal care, which included weekly clinic visits, home visits, and 24-hour availability for phone support.
OUTCOME MEASURES
Gestational age at birth, birth weight, length of stay in the neonatal intensive-care unit (NICU), and hospital charges for the newborns.
RESULTS
No newborns of less than 30 weeks gestation were born to women in the specialized care group, the mean birth weight was 249 g (SD +/- 77) higher, days in the NICU were reduced from a mean of 17 to 7, and hospital charges were $30,000 less per infant.
CONCLUSIONS
Newborn outcomes were improved and length of stay and hospital charges were significantly reduced for newborns whose mothers had received care in the specialized twin clinic.
产前母亲压力和早产：对社会经济弱势妇女的前瞻性研究。
DOI：
10.1037//0278-6133.11.1.32
发表时间：
1992
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
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作者：
Lobel,M;Dunkel-Schetter,C;Scrimshaw,SC
通讯作者：
Scrimshaw,SC