Dyson D C, Crites Y M, Ray D A, Armstrong M A
Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Santa Clara, CA 95051.
Am J Obstet Gynecol. 1991 Mar;164(3):756-62. doi: 10.1016/0002-9378(91)90510-x.
A total of 394 patients were enrolled in a study to assess the effectiveness of an educational preterm delivery prevention program and to determine whether the addition of home uterine monitoring to the program improved results in patients at high risk of preterm labor. Both the educational program and home uterine monitoring were found to increase the percentage of women with preterm labor who sought care while still favorable for long-term suppression, resulting in a decreased incidence of preterm births and improved outcome when compared with similar high-risk patients who did not participate in these programs. In a randomized, prospective study, addition of home uterine monitoring to the educational program was found to significantly improve outcome in twin gestations but not in singleton gestations. However, the number of singleton pregnancies was too small to rule out possible benefit from home uterine monitoring in that group.
共有394名患者参与了一项研究，以评估一项预防早产的教育项目的有效性，并确定在该项目中增加家庭子宫监测是否能改善早产高危患者的治疗效果。结果发现，教育项目和家庭子宫监测都提高了寻求治疗的早产女性的比例，且此时仍有利于长期抑制早产，与未参与这些项目的类似高危患者相比，早产发生率降低，治疗效果得到改善。在一项随机前瞻性研究中，发现教育项目增加家庭子宫监测能显著改善双胎妊娠的治疗效果，但对单胎妊娠则不然。然而，单胎妊娠的数量太少，无法排除该组患者可能从家庭子宫监测中获益的可能性。
