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Re: triples y reposo
From: ronniem@vtr.net
Wed Oct 2 07:59:56 2002
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...gracias Carlos...asi da gusto leer un correo....ronnie >
> De: clbmtoc@telcel.net.ve (Carlos Brito)
> Fecha: 2002/10/01 mar PM 09:24:21 GMT-04:00
> Para: Multiple recipients of list OBGIN-L <obgin-l@mail.medispecialty.com>
> Asunto: triples y reposo
>
> Solo para complementar la opinion. saludos
>
> April 1998 • Volume 178 • Number 4
> Perinatal outcome associated with outpatient management of triplet
> pregnancy
> Diana M. Adams, MD [MEDLINE LOOKUP]
> John S. Sholl, MD [MEDLINE LOOKUP]
> Elaine I. Haney, BS, MT [MEDLINE LOOKUP]
> Tanya L. Russell, BA [MEDLINE LOOKUP]
> Richard K. Silver, MD [MEDLINE LOOKUP]
> Abstract TOP
> OBJECTIVE: Our goal was to compare the lengths of hospitalization and
> the perinatal outcomes of triplet pregnancies managed with either
> outpatient or inpatient third-trimester bed rest.
> STUDY DESIGN: Thirty-two triplet pregnancies in which outpatient bed
> rest was prescribed (April 1993 to April 1996) were compared with a
> historic cohort of 34 triplets (January 1985 to March 1993) in which
> routine hospitalization was undertaken in the third trimester. Length
> of hospitalization and maternal and neonatal outcome parameters were
> compared between groups.
> RESULTS: Maternal inpatient hospital days were significantly reduced for
> the group managed as outpatients, but combined maternal and neonatal
> hospitalization was similar between groups. The mean gestational age at
> delivery was 1 week greater in the hospitalized cohort (33.5 ± 2.8 vs
> 32.5 ± 2.8, respectively; p = 0.16), and average birth weight was
> correspondingly greater in hospitalized cases (1942 gm vs 1718 gm, p <
> 0.005). Neonatal lengths of stay were similar between groups,
> reflecting earlier postnatal discharge in the outpatient era of this
> study. Preeclampsia occurred with greater frequency in the outpatient
> group (31.3% vs 8.8%, p = 0.02), and the neonatal complication of
> intraventricular hemorrhage occurred more commonly in this cohort as
> well(10/96 vs 1/102, p = 0.004). All other maternal and neonatal
> complications were similar between groups.
> CONCLUSION: Reduction in the length of hospitalization attributable to
> outpatient management was limited to the maternal length of stay. It is
> possible that the observed maternal and neonatal complications in the
> outpatient group may have been related to less rigorous bed rest. We
> would suggest that the differences noted in preeclampsia, birth weight,
> and intraventricular hemorrhage support prospective evaluation of bed
> rest in triplet pregnancy. (Am J Obstet Gynecol 1998;178:843-7.)
>
> --
> Cada vez que logro ver mis incontables imperfecciones y defectos me llego a sentir menos imperfecto
>
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