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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Management of threatened preterm delivery in France: a national practice survey (the EVAPRIMA study).
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Management of threatened preterm delivery in France: a national practice survey (the EVAPRIMA study).

机译：法国的早产威胁管理：一项国家实践调查（EVAPRIMA研究）。

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OBJECTIVES: To describe the management of threatened preterm delivery (TPD) in France 3 years after publication of the French guidelines and to analyse the factors of variation of the practices observed. DESIGN: Population-based study. SETTING: Representative sample of French maternity units. The study included 107 hospitals, accounting for 20% of all French maternity units. POPULATION: Women hospitalised for TPD during May 2005. METHODS: Cross-sectional national practice survey. RESULTS: Of the 734 admissions for TPD, 12.1% involved premature rupture of membranes and 12.9% were in utero transfers. Women admitted for TPD accounted for roughly 6% of all annual deliveries, regardless of the unit's level of care, and 42.4% of these women delivered preterm: none delivered before 32 weeks in level 1 maternity units, 11.6% in level 2 and 88.4% in level 3. Transvaginal cervical ultrasound was performed for 54.5% of the women with intact membranes. Tocolysis was administered in 87.1% of women with intact membranes, with 45.6% of such women receiving this intervention for longer than 48 hours. First-line tocolytics used were calcium channel blockers (53.7%), beta-agonists (34.7%) or atosiban (8.8%), but their distribution differed substantially according to level of care. Maintenance tocolysis was administered to 385 women (59.8%) with intact membranes. Of the women admitted before 34 weeks, 21.1% did not receive corticosteroids. CONCLUSIONS: Practices for the management of TPD vary widely and appear to depend on the level of care. Some practices appear less than optimal, especially those related to duration of tocolysis, maintenance tocolysis, antenatal corticosteroid and use of cervical ultrasound.
机译：目的：描述在法国准则发布三年后法国的早产先兆（TPD）的管理，并分析观察到的做法变化的因素。设计：基于人群的研究。地点：法国孕产单位的代表性样本。该研究包括107家医院，占法国所有妇产科的20％。人口：2005年5月，因TPD而住院的妇女。方法：全国性横断面调查。结果：TPD的734例入院患者中，有12.1％涉及胎膜早破，而12.9％涉及子宫内转移。不考虑单位的护理水平，接受TPD的妇女约占所有年度分娩的6％，其中有42.4％的妇女早产：1级产妇分娩前32周未分娩，2级分娩中11.6％，88.4％在第3级。经阴道宫颈超声检查对54.5％具有完整膜的女性进行了。子宫膜完整的女性中有87.1％的人接受了宫缩溶解术，其中45.6％的女性接受这种干预的时间超过48小时。一线使用的宫缩抑制剂是钙通道阻滞剂（53.7％），β激动剂（34.7％）或阿托西班（8.8％），但根据护理水平的不同，它们的分布也有很大差异。维持胎膜溶解术治疗了385例具有完整膜的妇女（59.8％）。在34周前入院的女性中，有21.1％没有接受皮质类固醇激素治疗。结论：TPD的管理实践差异很大，并且似乎取决于护理水平。有些做法似乎不是最佳做法，特别是与宫缩术的持续时间，维持宫缩术，产前皮质类固醇和使用宫颈超声有关的做法。

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