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2002 OCT 3 - (NewsRx.com & NewsRx.net) -- Selected high-risk pregnant patients can have good outcomes after well-designed home-based care during their pregnancies, report researchers in the International Journal of Gynecology and Obstetrics (2002;78:2).
In an article titled "Home management of preterm premature rupture of membranes" Dr. Allen William Ayres of the University of Michigan's Division of Maternal-Fetal-Medicine described a program in which women with premature rupture of membranes, a condition normally treated with prolonged hospitalization, were managed at home after a few days of hospital observation.
Specially trained nurses who were able to do electronic fetal monitoring and other assessments in the patients' homes monitored the patients. These patients had equally good outcomes as patients who were hospitalized with the same problem. As a result, there were significant reductions in their health care costs.
"Careful patient selection was critical in the success of the study," said Ayres, "as well as the selection and special training of the nurses." These well-trained nurses also were able to provide both education and support for the patients in their own homes, to a great degree approximating the type of education and support provided by nurses in a hospital setting.
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Source: HighBeam Research, Shorter hospital stays possible in high-risk pregnancies.(Brief...