Care around preterm birth
- Bib ID:
- 1966623
- Format:
- Book
- Online Version:
- http://www.health.gov.au/nhmrc/publications/synopses/cp51syn.htm
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- Edition:
- Repr. with amendments May 2000.
- Description:
-
- Canberra, ACT : NHMRC, 2000
- xlii, 265 p. : ill. ; 22 cm.
- ISBN:
-
- 1864960035
- 1864960094 (electronic version)
- Series:
- Clinical practice guidelines.
- Summary:
-
Clinical Practice Guidelines for Care Around Preterm Birth has been written to be useful for health professionals providing antenatal care (including midwives, general practitioners, obstetricians), health education environments, consumers and other related services. It is designed to: assist in decision-making by women (and their partners) and their health care practitioners; provide information for all involved in the care of women and infants around preterm birth; and assure the quality of care.
- Full contents:
-
- 1. The clinical picture
- 1.1. Definition
- Subdivisions of perterm birth
- Gestational age
- 1.2. Incidence
- 1.3. Outlook for the preterm infant
- 1.4. Impact on the woman and family
- 1.5. Costs
- Preventative strategies
- Antenatal bedrest
- Hospital stay and follow-up of infant
- Cost to families
- 2. Aims of care and communication with parents
- 2.1. Aims of care around preterm birth
- Non-viable fetus
- Elective delivery
- Clinically significant maternal and fetal pathology
- Non significant maternal and fetal pathology
- 2.2. Nominated health outcomes
- 2.3. Communication
- Decision-making
- 3. Assessment of women at risk
- 3.1. Medical indicators of risk
- Medical conditions associated with preterm birth
- Conditions related to an increased risk of preterm birth
- 3.2. Social and lifestyle factors
- Social support
- Nutritional programs
- Help to give up smoking
- Education programs
- Domestic violence
- Lifestyle advice to women
- 3.3. Risk scoring in pregnancy
- 4. Care of women at risk of preterm labour
- 4.1. Levels of care
- 4.2. Women in rural and remote areas
- 4.3. Clinical prevention strategies
- Control of infection
- Cervical cerclage
- Home uterine activity monitoring
- Antenatal bedrest
- 4.4. Diagnosis of preterm labour
- Uterine monitoring
- Assessment of contractions
- Advice for women
- 5. Pharmacological treatments to inhibit labour and improve neonatal outcome
- 5.1. Tocolysis
- Betamimetic drugs
- Inhibitors of prostaglandin synthesis
- Oxytocin antagonists
- Magnesium sulfate
- Calcium antagonists
- Glyceryl trinitrate
- Antibiotic treatment in preterm labour
- 5.2. Pharmacological treatments after preterm prelabour rupture of membranes
- Corticosteroids
- Tocolysis
- Antibiotic treatment
- 5.3. Pharmacological treatments to improve neonatal outcome
- Antenatal corticosteroids
- Thyrotropin releasing hormone
- Vitamin K
- Phenobarbital
- Magnesium sulfate
- 6. Preterm birth
- 6.1. Place of birth and level of care
- 6.2. Mode of birth
- Caesarean section
- Forceps delivery and episiotomy
- 6.3. Admission to a special care nursery or neonatal intensive care unit
- Special care nursery
- Neonatal intensive care unit
- 7. Care of the preterm infant and the family
- 7.1. Resuscitation at brith
- 7.2. Management of the thermal environment
- 7.3. Transport of newborn infants: care of the family
- Care of the family of an infant in the NICU
- Admission to an NICU
- Active parenting in the NICU
- Infant feeding
- Involvement of other family members
- Self-help groups and formal support programs for parents
- Environmental needs in the NICU
- 7.5. Care and follow-up after leaving hospital
- Follow-up strategies
- 8. Prevention and treatment of specific conditions in preterm infants
- 8.1. Care of the preterm infant with respiratory distress syndrome
- Clinical condition
- Incidence and risk factors
- Consequences
- Surfactant administration to the neonate
- Assisted pulmonary ventilation
- 8.2. Systemic infection
- Perinatally acquired infection
- Late nosocomial infection
- 8.3. Retinopathy of prematurity
- Incidence of ROP
- Screening
- Examination technique
- Record keeping
- Treatment
- Counselling parents
- Follow-up
- Cost-effectiveness of screening and treatment
- 9. Implementation strategy
- 9.1. Priority areas for changes to current practice
- 9.2. Target audiences
- 9.3. Organisation and funding factors/barriers
- Funding structures for care of newborn infants
- Travel and accommodation support for women and families
- Facilities in rural and remote areas for emergency preterm briths
- 9.4. Areas for further research
- 9.5. Outstanding issues beyond the scope of these guidelines
- 9.6. Dissemination and guideline implementation
- Development of an ongoing strategy
- 9.7. Monitoring and surveillance
- Mechanisms for monitoring processes and outcomes
- Barriers to monitoring in priority areas.l workers
- hospital in 1997
- Notes:
-
- "Endorsed December 1996".
- AGPS cat no. 0014267.
- Bibliography: p. 221-265.
- Also available on the Internet at: http://www.health.gov.au/nhmrc/publications/synopses/cp51syn.htm
- Subject:
- Other authors/contributors:
- National Health and Medical Research Council (Australia)
- Terms of Use:
- Commonwealth of Australia 2000.
- Copyright:
-
In Copyright
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- Reason for copyright status:
- Until 2050 [Created/Published Date + 50 Years]
Copyright status was determined using the following information:
- Material type:
- Literary, dramatic or musical work
- Published status:
- Published
- Publication date:
- 2000
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