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Home uterine monitors not as effective as other preterm birth predictors. (Low Sensitivity).

OB GYN News

| April 01, 2002 | Evans, Jeff | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

The monitoring of uterine contractions at home has a lower sensitivity and positive predictive value than do other methods of predicting preterm delivery reported Dr. Jay D. Iams of Ohio State University, Columbus, and his associates.

In a prospective study of 306 women with singleton pregnancies, home uterine monitors had a sensitivity ranging from 9% to 28% and positively predicted l1%-25% of preterm deliveries in 48 women who gave birth before 35 weeks' gestation.

Women who had a maximal nighttime frequency of at least four contractions at 27-28 weeks' gestation were three times more likely to have a preterm delivery than other women (N. Engl. J. Med. 346[4]:250-55, 2002).

The women used a contraction monitor at home to record ...

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