Can vibroacoustic stimulation improve the efficiency of a tertiary care antenatal testing unit?
| Autor: | Samuel Parry, Amy L. Turitz, Nadav Schwartz, Jamie A. Bastek, Mary D. Sammel |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Biophysical profile medicine.medical_specialty Antenatal testing Gestational Age Efficiency Prenatal care Vibroacoustic stimulation Tertiary care Tertiary Care Centers Young Adult Pregnancy Prenatal Diagnosis medicine Humans Fetal Monitoring Generalized estimating equation business.industry Obstetrics and Gynecology Gestational age Prenatal Care Surgery Pediatrics Perinatology and Child Health Physical therapy Elasticity Imaging Techniques Female business Hospital Units Quality assurance Algorithms |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 25:2645-2650 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.3109/14767058.2012.716878 |
| Popis: | Objective: Our primary objective was to determine whether vibroacoustic stimulation (VAS) decreases time to fetal reactivity in the antenatal testing unit (ATU) of a tertiary care center. Methods: We performed a prospective, quality assurance initiative to determine whether VAS could increase the efficiency of our ATU. On pre-specified “VAS days,” VAS was applied for 3 s, if the non-stress test was non-reactive in the first 10 min. Generalized estimating equations models were used to account for within subject correlation due to multiple appointments per patient. Results: VAS use was associated with a 3.76-min reduction in time to reactivity (21.79 vs 25.55, p = 0.011) and a 56% reduction in the need for a biophysical profile (OR: 0.44, 95% CI: 0.21–0.90). Overall, however, we found no significant decrease in time spent on the monitor or in the ATU. Conclusion: Compliance with a strict VAS protocol may improve the efficiency of increasingly busy ATUs. |
| Databáze: | OpenAIRE |
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