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世界核心医学期刊文摘（妇产科学分册） 2005年第10期1卷 54-55页

作者： Yost N.P Bloom S.L McIntire D.D leveno k.j 吕乐春 University of Texas Southwestern Medical Center Department of Obstetrics 5323 Harry Hines Bo ulevard Dallas TX 75390- 9032 United States.Dr

Objective: To assess whether women reporting domestic violence are at increased risk for adverse pregnancy outcomes. Methods: A screening questionnaire, previously validated for the identification of female victims of domestic violence, was offered to women presenting to our Labor and Delivery Unit. The survey prompted women to indicate whether her partner or family member physically hurt her, insulted or talked down to her, threatened her with harm, or screamed or cursed at her. The primary study outcome was to detect a 3- fold increase in low birth weight infants ( ≤ 2, 500 g) in women reporting physical abuse, com pa- red with those not reporting domestic violence. Results: A total of 16,041 women were approached to be interviewed. Of these, 949 (6% ) women responded affirmatively to one or more of the survey questions, and another 94 (0.6% )- declined to be interviewed. The incidence of low birth weight infants was significantly increased in women who reported verbal abuse, compared with the no- abuse group (7.6% versus 5.1% , respectively, P = .002). Physical abuse was associated with an increased risk of neonatal death (1.5% versus 0.2% , P = .004). Interestingly, women who declined to be interviewed had significantly increased rates of low birth weight infants(12.8% versus 5.1% , P ks of gestation or less (5.3% versus 1.2% , P= .002), placental abruptions (2.1% versus 0.2% , P k for adverse pregnancy outcome.

关键词：前瞻性观察家庭暴力不良妊娠结局低体重儿胎盘早剥新生儿死亡率早产率身体伤害暴力威胁家庭成员

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维普期刊数据库

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一项终止早产妇女住院治疗的随机试验

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世界核心医学期刊文摘（妇产科学分册） 2005年第11期1卷 49-49页

作者： Yost N.P. Bloom S.L. McIntire D.D. leveno k.j. 程金湘 University of Texas Southwestern Medical Center Department of Obstetrics 5323 Harry Hines Boulevard Dallas TX 75390-9032 United States Dr.

Objective: To determine whether hospitalization of women with arrested preterm labor has an effect on delivery at 36 weeks or greater when compared with women discharged home. Methods: All women with a singleton gestation and a diagnosis of arrested preterm labor with intact membranes between 24 and 33 weeks, 4 days of gestation were randomly assigned to home or hospital management. Upon completion of a dexamethasone course, women assigned to outpatient management were promptly discharged, and women in the inpatient group were advised to continue hospitalization until 34 weeks. Decreased activity was encouraged in both groups. Bed rest was not strictly enforced. The primary outcome was delivery at 36 weeks or greater. Results: A total of 101 women of a planned 188 were enrolled at the time of an interim analysis. There was no difference in the primary study outcome between the 2 groups and the trial was terminated. Among the hospitalized women, 71% reached 36 weeks or greater, compared with 72% of those discharged home (P =.89). The mean cervical dilatation in hospitalized women was 2.7 ± 0.5 cm, compared with 2.6 ± 0.5 cm in women discharged home (P =.16). The overall length of hospital stay for the women allocated to hospitalization was 16 ± 13 days. Conclusion: Compared with hospitalization, outpatient management of women with arrested preterm labor and intact membranes had no effect on the rate of preterm birth.

关键词：住院治疗单胎妊娠随机试验家庭治疗随机分配宫颈扩张门诊治疗

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维普期刊数据库

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