Randomised controlled trial of routine cervical examinations in pregnancy. European Community Collaborative Study Group on Prenatal Screening.
Preterm delivery is strongly associated with neonatal mortality and morbidity. In some European countries, cervical examinations are used routinely during pregnancy to identify women at risk of preterm delivery. We sought to evaluate the efficacy and secondary effects of these routine cervical exami...
| Publicado en: | Lancet Vol. 344; no. 8926; pp. 841 - 845 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Lancet
9/24/1994
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107301083&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107301083 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01406736 LAN jtl: Lancet issn: 01406736 maglogo: N pubinfo: dt: 9/24/1994 vid: 344 iid: 8926 pid: 1297 pub: Lancet place: Philadelphia, Pennsylvania artinfo: ui: 107301083 107301083 NLM7916399 1998076701 10.1016/s0140-6736(94)92825-8 NLM7916399 107301083 ppf: 841 ppct: 4 formats: fmt: @attributes: type: T tig: atl: Randomised controlled trial of routine cervical examinations in pregnancy. European Community Collaborative Study Group on Prenatal Screening. aug: au: Buekens P Alexander S Boutsen M Blondel M Kaminski M Reid M Buekens, P Alexander, S Boutsen, M Blondel, B Kaminski, M Reid, M affil: School of Public Health, Free University of Brussels, Belgium sug: subj: Cervix Labor, Premature Prevention and Control Physical Examination In Pregnancy Pregnancy Outcomes Prenatal Care Methods Adult Clinical Trials Data Analysis, Statistical Female Infant, Newborn Labor, Premature Etiology Pregnancy Human Adult: 19-44 years Infant, Newborn: birth-1 month Female ab: Preterm delivery is strongly associated with neonatal mortality and morbidity. In some European countries, cervical examinations are used routinely during pregnancy to identify women at risk of preterm delivery. We sought to evaluate the efficacy and secondary effects of these routine cervical examinations. We did a randomised controlled trial in seven European countries, comparing two policies--namely, an attempt to do a cervical examination at every prenatal visit (2803 women) and avoidance of cervical examination if possible (2799). The median number of cervical examinations was 6 in the experimental group and 1 in the controls. There were 6.7% preterm (< 37 weeks) deliveries in the experimental group and 6.4% in the control group (risk ratio 1.05 [95% confidence interval 0.85-1.29]; non-significant). The low birthweight rate was 6.6% in the experimental group and 7.7% in the controls (non-significant). Premature rupture of membranes was not significantly more frequent in the experimental group (27.1% vs 26.5%). Our findings do not support the routine use of cervical examinations during pregnancy. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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