Unexpected Term Neonatal Intensive Care Unit Admissions and a Potential Role for Centralized Remote Fetal Monitoring
| Autor: | Joseph R. Biggio, Sydney P. Peterson, Eboni G. Price-Haywood, Mariella Gastanaduy, Daniel Fort, Mary Kay Ford, Jane Martin |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Neonatal intensive care unit Obstetrics business.industry Obstetrics and Gynecology Gestational age Odds ratio 030204 cardiovascular system & hematology Confidence interval Odds Fetal monitoring 03 medical and health sciences 0302 clinical medicine Exposure group Statistical significance Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine business |
| Zdroj: | American journal of perinatology. |
| ISSN: | 1098-8785 |
| Popis: | Objective Centralized remote fetal monitoring (CRFM) has been proposed as a method to improve the performance of intrapartum fetal heart rate (FHR) monitoring and perinatal outcomes. The purpose of this study is to determine whether CRFM was associated with a reduction in unexpected term neonatal intensive care unit (NICU) admissions. Study Design A pre–post design was used to examine the effectiveness of CRFM which was implemented in stages across five hospitals. The exposure group was all women who underwent intrapartum monitoring via CRFM. The unexposed group was of women who delivered at the same hospitals prior to implementation of CRFM. Pregnancies with expected NICU admissions, gestational age Results There were 19,392 live births included in this analysis. In the univariable analysis, the odds of unexpected term NICU admission was lower among the CRFM exposed group compared with the unexposed group (odds ratio [OR] = 0.86, 95% confidence interval [CI]: 0.75–0.99; p = 0.038). In multivariable analysis, this did not reach statistical significance (OR = 0.92, 95% CI: 0.79–1.06; p = 0.24). Cesarean and OVD were less likely in the exposed group (OR = 0.91, 95% CI: 0.85–0.97; p = 0.008) and (OR = 0.70, 95% CI: 0.59–0.83, p Conclusion In some practice settings, utilization of a CRFM system may decrease the risk of unexpected term NICU admission, cesarean, and OVD rate. Key Points |
| Databáze: | OpenAIRE |
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