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Screening and prevention of preterm birth: how is it done in clinical practice?
Dos Santos, Roberta Bulsing; Vettorazzi, Janete; Rosa, Marcos Wengrover; Arlindo, Ellen Machado; Valério, Edimárlei Gonsales.
Afiliação
  • Dos Santos RB; Universidade Federal do Rio Grande do Sul Porto AlegreRS Brazil Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  • Vettorazzi J; Hospital Moinhos de Vento Obstetrics and Gynecology Department Porto AlegreRS Brazil Obstetrics and Gynecology Department, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
  • Rosa MW; Universidade Federal do Rio Grande do Sul Porto AlegreRS Brazil Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
  • Arlindo EM; Hospital Moinhos de Vento Obstetrics and Gynecology Department Porto AlegreRS Brazil Obstetrics and Gynecology Department, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
  • Valério EG; Hospital de Clínicas de Porto Alegre Gynecology and Obstetrics Department Porto AlegreRS Brazil Gynecology and Obstetrics Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Rev Bras Ginecol Obstet ; 462024.
Article em En | MEDLINE | ID: mdl-38765518
ABSTRACT

Objective:

To ascertain how screening for preterm birth is performed among obstetricians working in public and private practice in a middle-income country.

Methods:

Cross-sectional study of 265 obstetrician-gynecologists employed at public and private facilities. An online questionnaire was administered, with items designed to collect data on prematurity screening and prevention practices.

Results:

The mean age of respondents was 44.5 years; 78.5% were female, and 97.7% had completed a medical residency program. Universal screening (i.e., by ultrasound measurement of cervical length) was carried out by only 11.3% of respondents in public practice; 43% request transvaginal ultrasound if the manual exam is abnormal, and 74.6% request it in pregnant women with risk factors for preterm birth. Conversely, 60.7% of respondents in private practice performed universal screening. This difference in screening practices between public and private practice was highly significant (p < 0.001). Nearly all respondents (90.6%) reported prescribing vaginal progesterone for short cervix.

Conclusion:

In the setting of this study, universal ultrasound screening to prevent preterm birth was used by just over half of doctors in private practice. In public facilities, screening was even less common. Use of vaginal progesterone in cervical shortening was highly prevalent. There is an unmet need for formal protocols for screening and prevention of preterm birth in middle-income settings.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Padrões de Prática Médica / Nascimento Prematuro / Obstetrícia Limite: Adult / Female / Humans / Male / Middle aged / Pregnancy Idioma: En Revista: Rev Bras Ginecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Padrões de Prática Médica / Nascimento Prematuro / Obstetrícia Limite: Adult / Female / Humans / Male / Middle aged / Pregnancy Idioma: En Revista: Rev Bras Ginecol Obstet Assunto da revista: GINECOLOGIA / OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil