Early term gestation: Simple term?

2019 ◽  
Vol 234 ◽  
pp. e20
Author(s):  
Susana Oliveira ◽  
Rita Dinis ◽  
André Santos ◽  
Ana Sousa ◽  
Isabel Torres ◽  
...  
Keyword(s):  
Early Term ◽  
Simple Term

scholarly journals Incidence, Risk Factors, and Outcomes of Preterm and Early Term Births: A Population-Based Register Study

2021 ◽  
Vol 18 (11) ◽  
pp. 5865
Author(s):  
Salma Younes ◽  
Muthanna Samara ◽  
Rana Al-Jurf ◽  
Gheyath Nasrallah ◽  
Sawsan Al-Obaidly ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hospital Mortality ◽  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Population Based ◽  
Incidence Rates ◽  
Large For Gestational Age ◽  
Mortality And Morbidity ◽  
Early Term ◽  
Incidence Risk

Preterm birth (PTB) and early term birth (ETB) are associated with high risks of perinatal mortality and morbidity. While extreme to very PTBs have been extensively studied, studies on infants born at later stages of pregnancy, particularly late PTBs and ETBs, are lacking. In this study, we aimed to assess the incidence, risk factors, and feto-maternal outcomes of PTB and ETB births in Qatar. We examined 15,865 singleton live births using 12-month retrospective registry data from the PEARL-Peristat Study. PTB and ETB incidence rates were 8.8% and 33.7%, respectively. PTB and ETB in-hospital mortality rates were 16.9% and 0.2%, respectively. Advanced maternal age, pre-gestational diabetes mellitus (PGDM), assisted pregnancies, and preterm history independently predicted both PTB and ETB, whereas chromosomal and congenital abnormalities were found to be independent predictors of PTB but not ETB. All groups of PTB and ETB were significantly associated with low birth weight (LBW), large for gestational age (LGA) births, caesarean delivery, and neonatal intensive care unit (NICU)/or death of neonate in labor room (LR)/operation theatre (OT). On the other hand, all or some groups of PTB were significantly associated with small for gestational age (SGA) births, Apgar <7 at 1 and 5 minutes and in-hospital mortality. The findings of this study may serve as a basis for taking better clinical decisions with accurate assessment of risk factors, complications, and predictions of PTB and ETB.

Risk of preterm and early term birth by maternal drug use

2018 ◽  
Vol 39 (2) ◽  
pp. 286-294 ◽  
Author(s):  
Rebecca J. Baer ◽  
Christina D. Chambers ◽  
Kelli K. Ryckman ◽  
Scott P. Oltman ◽  
Larry Rand ◽  
...  
Keyword(s):  
Drug Use ◽  
Term Birth ◽  
Early Term ◽  
Maternal Drug Use

scholarly journals A qualitative framework-based evaluation of radiology clinical decision support initiatives: eliciting key factors to physician adoption in implementation

JAMIA Open ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 187-196 ◽  
Author(s):  
Laura Haak Marcial ◽  
Douglas S Johnston ◽  
Michael R Shapiro ◽  
Sara R Jacobs ◽  
Barry Blumenfeld ◽  
...  
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Contextual Factors ◽  
Qualitative Evaluation ◽  
Clinical Decision ◽  
Evaluation Framework ◽  
Key Factors ◽  
Clinical Context ◽  
Early Term ◽  
Near Term

Abstract Objectives To illustrate key contextual factors that may have effects on clinical decision support (CDS) adoption and, ultimately, success. Materials and Methods We conducted a qualitative evaluation of 2 similar radiology CDS innovations for near-term endpoints affecting adoption and present the findings using an evaluation framework. We identified key contextual factors between these 2 innovations and determined important adoption differences between them. Results Degree of electronic health record integration, approach to education and training, key drivers of adoption, and tailoring of the CDS to the clinical context were handled differently between the 2 innovations, contributing to variation in their relative degrees of adoption and use. Attention to these factors had impacts on both near and later-term measures of success (eg, patient outcomes). Discussion CDS adoption is a well-studied early-term measure of CDS success that directly impacts outcomes. Adoption requires attention throughout the design phases of an intervention especially to key factors directly affecting it, including how implementation across multiple sites and systems complicates adoption, which prior experience with CDS matters, and that practice guidelines invariably require tailoring to the clinical context. Conclusion With better planning for the capture of early-term measures of successful CDS implementation, especially adoption, critical adjustments may be made to ensure that the CDS is effectively implemented to be successful.

IMMEDIATE NEONATAL OUTCOME OF LATE PRETERMS AND EARLY TERMS COMPARED TO TERMS

2021 ◽  
pp. 8-11
Author(s):  
Kausik Sur ◽  
Brajagopal Ray
Keyword(s):  
Retrospective Review ◽  
Congenital Anomalies ◽  
Neonatal Outcome ◽  
Neonatal Period ◽  
Neonatal Morbidity ◽  
University Hospital ◽  
Early Term ◽  
Nicu Admission ◽  
The City ◽  
Pro Forma

Introduction: Increasing number of Late Preterm (LPT) babies are being born in recent years, and they suffer from increased neonatal morbidities and moralities. Objective: +0 +6 To assess the immediate neonatal morbidities and mortalities of Late Pretrem - LPT - (34 -36 weeks) compared to +0 +6 +0 +6 those babies born at Early Term -ET- (37 - 38 weeks) and Term - T- (39 - 40 weeks) gestation. Methodology: A retrospective review of delivery, admission, discharge and death registers and necessary case notes of all live in-born babies excluding those with congenital anomalies were done in RKM Seva Pratisthan Hospital, a teriray level University Hospital in the City of Kolkata, between 1st January 2018 till 31st December 2019. Data collected in a predesigned pro forma were analysed with SPSS vs 23 software, after obtaining necessary permission. All the major neonatal morbidities and morality were compared between the three groups. Results: +0 +6 Total 6511 babies born between gestation 34 and 40 weeks were analysed of which 1021 were in LPT group (31.9%requiring NICU admission), 3408 in ET group (8.3% requiring NICU admission) and 2068 in T group (9.2% requiring NICU admission). There was no signicant difference in mortality (LPT vs ET vsT : 0.5% vs 0.3% vs 0.1%). All the major morbidities ( Respiratory, CNS, Infectious, Metabolic and Any morbidity) were signicantly higher in LPT group. No signicant difference were observed between ET and Term group in terms of any neonatal morbidity or mortality. Conclusion: Late Pretrem newborns suffer from increased neonatal morbidity compared to their Early Term or Term counterpart in immediate neonatal period. No difference of morbidity or mortality were noted between Early Term and Term groups.

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