Provision and practice of specialist preterm labour clinics: a UK survey of practice
Provision and practice of specialist preterm labour clinics: a UK survey of practice
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DOI：
10.1111/1471-0528.12512
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发表时间：
2014-03-01
影响因子：
5.8
通讯作者：
Alfirevic, Z.
中科院分区：
文献类型：
--
作者：
Sharp, A. N.;Alfirevic, Z.
ObjectiveTo identify the current status of specialist preterm labour（PTL）clinic provision and management within the UK.DesignPostal survey of clinical practice.SettingUKPopulationAll consulten-led obstitric units within the UK.MethodsA questionnaire was sent by post to all 210 NHS consulten-led obstitric units within the UK. MethodsA questionnaire.单位有一个专业的PTL诊所被要求完成进一步的20个问题，定义他们的风险分层和management.Main结果measuresCurrent实践在专业早产诊所。结果我们已经确定了23个专科诊所，最常见的出席指征是以前的PTL（100%），早产前胎膜破裂（95%），两个大环切除的转换区（95%）或锥活检（95%）。短宫颈的主要治疗指征和方法存在显著异质性，45%的单位使用宫颈环扎术，18%的单位使用孕酮，5%使用阿拉伯宫颈栓。另外23%的人使用多种治疗方式combined.ConclusionsA显着异质性在所有主题的调查表明，迫切需要网络，更多的循证指南和前瞻性的比较审计，以确定真实的影响的专家PTL诊所减少早产及其后遗症。
ObjectiveTo identify the current status of specialist preterm labour (PTL) clinic provision and management within the UK.DesignPostal survey of clinical practice.SettingUKPopulationAll consultant-led obstetric units within the UK.MethodsA questionnaire was sent by post to all 210 NHS consultant-led obstetric units within the UK. Units that had a specialist PTL clinic were asked to complete a further 20 questions defining their protocol for risk stratification and management.Main outcome measuresCurrent practice in specialist preterm labour clinics..ResultsWe have identified 23 specialist clinics; the most common indications for attendance were previous PTL (100%), preterm prelabour rupture of membranes (95%), two large loop excisions of the transformation zone (95%) or cone biopsy (95%). There was significant heterogeneity in the indications for and method of primary treatment for short cervix, with cervical cerclage used in 45% of units, progesterone in 18% of units and Arabin cervical pessary in 5%. A further 23% used multiple treatment modalities in combination.ConclusionsA significant heterogeneity in all topics surveyed suggests an urgent need for networking, more evidence-based guidelines and prospective comparative audits to ascertain the real impact of specialist PTL clinics on the reduction in preterm birth and its sequelae.