Biomedical subjects

K A Hollenbach

Publications and source records attributed to K A Hollenbach.

21 records · Page 2Linked to original sources

PubMed1989

The association between decreased amniotic fluid volume and treatment with nonsteroidal anti-inflammatory agents for preterm labor.

From a cohort of women treated for preterm labor at the Swedish Hospital Medical Center for a 1-year period, 58 patients were identified as receiving one or more tocolytic agents. Twenty-seven of the 58 patients met study criteria for the determination of the effects of tocolytic therapy on amniotic fluid volume both before and during treatment by means of ultrasound examination. Fourteen of 17 patients (82.3%) treated with nonsteroidal anti-inflammatory drugs demonstrated a decrease in amniotic fluid, whereas none of the 10 patients treated with other tocolytic agents experienced a decrease in fluid volume. Decreased amniotic fluid associated with nonsteroidal anti-inflammatory drug treatment was reversible in seven of eight patients when treatment was discontinued and ultrasound examinations were performed after treatment.

Adult↗

PubMedDate not supplied

Practice styles. A comparison of obstetricians and nurse-midwives.

Iain Chalmers and the National Perinatal Epidemiology Unit, Oxford, England, developed a comprehensive listing of perinatal care procedures shown to reduce the frequency of adverse outcomes during pregnancy and childbirth. This list was used as a framework for a pilot study conducted in 1992 that reviewed similarities and differences in opinion and practice style between certified nurse-midwives (CNMs) and obstetrician/gynecologists. Twenty CNMs and 57 obstetrician/gynecologists who were active clinical practitioners in San Diego commented on 24 items drawn from Chalmers' work. The CNMs were more likely to favor the availability of social and psychological support variables and to use them in their practice. The groups were more alike than different in their views concerning preventive interventions during the prenatal period. CNMs were more likely to support the availability of alternatives to maternal positions for labor and birth, exhalatory breathing, and delayed pushing and less likely to support the availability of electronic fetal monitoring, epidural anesthesia, episiotomy, and active management of the third stage. A small sample size and limited response rate restricted interpretation and generalizability of these data. Nevertheless the data offer support for other studies with similar findings. They also suggest that health system administrators should inform women and families about differences in practice styles before families select from among the various insurance options that may, in the end, restrict the choice of provider or birth setting.

Chi-Square Distribution↗

PubMedDate not supplied

Use of prenatal services by Hispanic women in San Diego County. A comparison of urban and rural settings.

The purpose of this study was to investigate patterns of prenatal care use among urban and rural Hispanic women in San Diego County, California. A cohort study of Hispanic women delivering at one of five San Diego County hospitals between July 1991 and January 1992 was conducted (N = 587). Data were collected by in-person interview and medical record abstraction. Logistic regression was used to identify variables associated with late entry into prenatal care, while simultaneously adjusting for important confounding variables. Three factors were found to be significantly associated with late entry into prenatal care. Women who resided in urban areas were two times more likely to enter prenatal care late as compared to women who lived in rural areas (odds ratio = 2.11; 95% confidence intervals (CI) = 1.12, 4.0). Women who reported not having initially "wanted" the pregnancy were 2.2 times more likely to enter prenatal care late (95% CI = 1.05, 4.59). The risk of entering prenatal care late increased by 20% for each additional barrier to care that was reported (95% CI = 1.09, 1.34). Results indicate that timely entry into prenatal care may be improved among San Diego Hispanic women by targeting specific barriers to prenatal care identified in this study and by providing greater family planning assistance to this population to decrease unwanted pregnancies.

Adult↗