摘要:

Over the past few decades there has not been any significant reduction in the rate of preterm birth. As we enter into a new millennium, prematurity is still the leading cause of perinatal morbidity and mortality in the non-anomalous infant. The only major contributions in reducing perinatal mortality in the preterm infant are those in the field of neonatology, while the area of preterm birth prevention has lagged far behind. This article highlights the research and clinical challenges that stand in the way of making a timely yet accurate diagnosis of preterm labor. In addition, possible pathways in the evolution of preterm labor are discussed with emphasis on their significance to diagnosis and treatment.

ISSN:0893-2190    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Following an analysis of the literature, this article reviews the current practices, guidelines, and recommendations for electronic fetal monitoring of the preterm fetus. The physiologic aspects of fetal heart rate control, electronic fetal monitor parameters, and differences between the preterm and term fetus are dscussed. Clearly identified is the need for clinical research regarding electronic fetal monitoring of the preterm fetus to establish evidence-based practice guidelines.

ISSN:0893-2190    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The ultimate goal of treating preterm labor is to prolong the pregnancy long enough to decrease the incidence of neonatal mortality and morbidity associated with prematurity, while minimizing maternal and fetal risks. There are many controversies in treating preterm labor. Much of this controversy stems from the difficulty in establishing efficacy and safety of interventions and uncertainty of the diagnosis of preterm labor. This article outlines conventional measures and tocolytic therapy directed at prolonging the pregnancy. A review of the effect of tocolytic agents, administration, side effects, and nursing interventions is included.

ISSN:0893-2190    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Health care organizations today are being challenged to deliver care that is cost-effective, satisfying to patients, and based on quality outcomes. Urgency created by inadequate bed capacity as well as financial opportunity prompted United Hospital's Birth Center to launch care improvement activities aimed at assessing appropriateness of antepartal length of stay. Collaboration between all members of the health care team enabled a steering committee to implement evidence-based provider practice guidelines targeting variance around preterm labor management. Other multidisciplinary strategies implemented include a home care prescreening process, case management, and establishment of a peer review process. Within the 1-year care improvement process, the Birth Center successfully decreased the length of stay for preterm labor patients from 6.9 days to 5.3 days. This article describes one institution's efforts to improve care by implementing guidelines for the inpatient management of preterm labor.

ISSN:0893-2190    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Alignment and shaping of the musculoskeletal system occur during each body position that infants experience while in neonatal intensive care. Neonatal nurses and physical therapists can play a major role in designing, modeling, and teaching positioning strategies that promote skeletal integrity, postural control, and sensorimotor organization. Musculoskeletal maturation processes and adverse musculoskeletal consequences are reviewed with an emphasis on clinical implications for neonatal care, discharge teaching, and follow-up. Recommendations are offered for neonatal positioning procedures to prevent extremity malalignment, skull deformities, and gross motor delay.

ISSN:0893-2190    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

A challenge facing neonatal health care providers is to combine technological intensive care for preterm infants with a sensitive and individualized approach facilitating neurobehavioral development while supporting parents in their roles as primary advocates and long-term caregivers. This exploratory study evaluated an individualized nursing intervention based on underlying assumptions of both infant and parent competence. The intervention enhanced parents' ability to appraise their infant's behavior critically and respond in a supportive manner. Study findings provide valuable information on the implications of an individualized nursing intervention both for further research and clinical practice.

ISSN:0893-2190    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:0893-2190    

出版商:OVID    

年代:2002

数据来源: OVID