Placenta previa: antepartum conservative management, inpatient versus outpatient
- PMID: 8203426
Placenta previa: antepartum conservative management, inpatient versus outpatient
Abstract
Objective: Our purpose was to compare outcomes of patients with placenta previa managed expectantly in either an inpatient or outpatient setting.
Study design: Records for 238 patients coded as having placenta previa over the 12-year period from 1981 through 1992 were reviewed, and outcomes were compared.
Results: A total of 104 patients were managed conservatively (i.e., delivered > 7 days after diagnosis). Fifty-five patients were hospitalized and 49 were followed up as outpatients. There was no significant difference in gestational age or birth weights at delivery. Likewise, the average lowest postpartum hemoglobins were similar. Infant morbidity was similar when incidences of respiratory distress syndrome, transient tachypnea of the newborn, and intraventricular hemorrhage were compared.
Conclusion: Although there may have been other circumstances segregating patients to hospital care or home care, there was no apparent difference in the outcome of the two groups.
Comment in
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Placenta previa: to rest in bed or not to rest, be normal or "play sick"?Am J Obstet Gynecol. 1995 Mar;172(3):1067. doi: 10.1016/0002-9378(95)90060-8. Am J Obstet Gynecol. 1995. PMID: 7892860 No abstract available.
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