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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Provision and practice of specialist preterm labour clinics: A UK survey of practice
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Provision and practice of specialist preterm labour clinics: A UK survey of practice

机译：专业早产诊所的提供和实践：英国实践调查

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摘要

Objective: To identify the current status of specialist preterm labour (PTL) clinic provision and management within the UK. Design: Postal survey of clinical practice. Setting: UK Population: All consultant-led obstetric units within the UK. Methods: A questionnaire was sent by post to all 210 NHS consultant-led obstetric units within the UK. Units that had a specialist PTL clinic were asked to complete a further 20 questions defining their protocol for risk stratification and management. Main outcome measures: Current practice in specialist preterm labour clinics. Results: We have identified 23 specialist clinics; the most common indications for attendance were previous PTL (100%), preterm prelabour rupture of membranes (95%), two large loop excisions of the transformation zone (95%) or cone biopsy (95%). There was significant heterogeneity in the indications for and method of primary treatment for short cervix, with cervical cerclage used in 45% of units, progesterone in 18% of units and Arabin cervical pessary in 5%. A further 23% used multiple treatment modalities in combination. Conclusions: A significant heterogeneity in all topics surveyed suggests an urgent need for networking, more evidence-based guidelines and prospective comparative audits to ascertain the real impact of specialist PTL clinics on the reduction in preterm birth and its sequelae.
机译：目的：确定英国范围内专科早产（PTL）诊所的提供和管理现状。设计：临床实践的邮政调查。地点：英国人口：英国境内所有由顾问领导的产科部门。方法：向英国所有210个由NHS顾问领导的产科部门邮寄问卷。要求拥有专职PTL诊所的部门完成另外20个问题，以定义其风险分层和管理方案。主要结果指标：专业早产诊所的当前实践。结果：我们确定了23家专科诊所;出席的最常见指征是先前的PTL（100％），早产胎膜早破（95％），两次大环切开的转化区切除术（95％）或锥切活检（95％）。短子宫颈的主要适应症和主要治疗方法存在显着异质性，子宫颈环扎术占45％，孕酮占18％，阿拉伯树环子宫托占5％。另有23％的人联合使用多种治疗方式。结论：在所调查的所有主题中，显着的异质性表明迫切需要建立网络，更多基于证据的指南和前瞻性比较审核，以确定专科PTL诊所对减少早产及其后遗症的真正影响。

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