premature labour preterm birth
Conditions
Interventions
None listed
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Nulliparous women First visit in midwifery practice before a gestational age of 24 weeks Low risk pregnancy Maternal age > 18 years
Exclusion criteria
Exclusion criteria: Multiparous women First visit in midwifery practice and hospital beyond a gestational age of 24 weeks High risk pregnancy (indication for referral to 2nd or 3rd line) Multiple pregnancy Maternal age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is spontaneous preterm delivery before 37 weeks (expected incidence is approximately 5%) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures are: - preterm delivery before 28, 32 and 34 weeks - the number of women that present for signs and symptoms of preterm birth - referral to secondary/tertiary care for threatened preterm birth - administration of corticosteroids and tocolysis - maternal admission days for preterm labour and costs - time to delivery - maternal morbidity - perinatal mortality - perinatal morbidity (respiratory distress syndrome (RDS), broncho pulmonal dysplasia (BPD), intraventricular haemorrhage (IVH) grade 3 or worse, necrotizing enterocolitis (NEC) stage 2B or higher, periventricular leucomalacia (PVL), rethinopathy of prematurity (ROP), and culture proven sepsis) - days of admission in neonatal intensive care unit - financial costs - long term neonatal outcome (developmentscores) | — |
Countries
Netherlands
Outcome results
None listed