The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate Use
Objective. To determine if gestational age of prior preterm delivery influences a woman's receipt of 17-hydroxyprogesterone caproate (17-OHP-C). Methods. Retrospective cohort of women eligible for 17-OHP-C at Duke Obstetrics Clinic were identified by medical record review. Sociodemographic and...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2011/286483 |
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| author | Carla E. Ransom Jeanette R. Chin Hilary A. Roeder Tammy R. Sinclair R. Phillips Heine Amy P. Murtha |
| author_facet | Carla E. Ransom Jeanette R. Chin Hilary A. Roeder Tammy R. Sinclair R. Phillips Heine Amy P. Murtha |
| author_sort | Carla E. Ransom |
| collection | DOAJ |
| description | Objective. To determine if gestational age of prior preterm delivery influences a woman's receipt of 17-hydroxyprogesterone caproate (17-OHP-C).
Methods. Retrospective cohort of women eligible for 17-OHP-C at Duke Obstetrics Clinic were identified by medical record review. Sociodemographic and clinical characteristics were abstracted.
Results. Of 104 eligible subjects, 82 (78.8%) were offered 17-OHP-C. Of these, thirty-four (41.5%) declined. The median gestational age of the most recent preterm delivery was significantly lower among subjects who accepted 17-OHP-C as compared to those who declined (28.7 vs. 34.0 weeks, 𝑃=.02) and in subjects offered 17-OHP-C compared to those not offered 17-OHP-C (30.2 vs. 36.0 weeks, 𝑃=.03). Subjects not offered 17-OHP-C were more likely to have had an interval term delivery (31.8% vs. 9.7%, 𝑃=.009)
Conclusion. Women with earlier preterm deliveries were more likely to be offered and accept 17-OHP-C. Prior obstetric history may influence both providers' and patients' willingness to discuss and/or accept 17-OHP-C. |
| format | Article |
| id | doaj-art-13e2f2472df84878b9f653d67797d870 |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-13e2f2472df84878b9f653d67797d8702025-02-03T06:07:31ZengWileyJournal of Pregnancy2090-27272090-27352011-01-01201110.1155/2011/286483286483The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate UseCarla E. Ransom0Jeanette R. Chin1Hilary A. Roeder2Tammy R. Sinclair3R. Phillips Heine4Amy P. Murtha5Department of Obstetrics and Gynecology, Duke University Medical Center (DUMC), P.O. Box 3967, Durham, NC 27710, USADepartment of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT. 84132, USADepartment of Obstetrics and Gynecology, Duke University Medical Center (DUMC), P.O. Box 3967, Durham, NC 27710, USADepartment of Obstetrics and Gynecology, Duke University Medical Center (DUMC), P.O. Box 3967, Durham, NC 27710, USADepartment of Obstetrics and Gynecology, Duke University Medical Center (DUMC), P.O. Box 3967, Durham, NC 27710, USADepartment of Obstetrics and Gynecology, Duke University Medical Center (DUMC), P.O. Box 3967, Durham, NC 27710, USAObjective. To determine if gestational age of prior preterm delivery influences a woman's receipt of 17-hydroxyprogesterone caproate (17-OHP-C). Methods. Retrospective cohort of women eligible for 17-OHP-C at Duke Obstetrics Clinic were identified by medical record review. Sociodemographic and clinical characteristics were abstracted. Results. Of 104 eligible subjects, 82 (78.8%) were offered 17-OHP-C. Of these, thirty-four (41.5%) declined. The median gestational age of the most recent preterm delivery was significantly lower among subjects who accepted 17-OHP-C as compared to those who declined (28.7 vs. 34.0 weeks, 𝑃=.02) and in subjects offered 17-OHP-C compared to those not offered 17-OHP-C (30.2 vs. 36.0 weeks, 𝑃=.03). Subjects not offered 17-OHP-C were more likely to have had an interval term delivery (31.8% vs. 9.7%, 𝑃=.009) Conclusion. Women with earlier preterm deliveries were more likely to be offered and accept 17-OHP-C. Prior obstetric history may influence both providers' and patients' willingness to discuss and/or accept 17-OHP-C.http://dx.doi.org/10.1155/2011/286483 |
| spellingShingle | Carla E. Ransom Jeanette R. Chin Hilary A. Roeder Tammy R. Sinclair R. Phillips Heine Amy P. Murtha The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate Use Journal of Pregnancy |
| title | The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate Use |
| title_full | The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate Use |
| title_fullStr | The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate Use |
| title_full_unstemmed | The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate Use |
| title_short | The Influence of Prior Obstetrical History on Current 17-Hydroxyprogesterone Caproate Use |
| title_sort | influence of prior obstetrical history on current 17 hydroxyprogesterone caproate use |
| url | http://dx.doi.org/10.1155/2011/286483 |
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