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- W161857906 abstract "In the US the West Los Angeles Preterm Prevention Project carried out a prospective study among women at high risk of having a premature birth. 880 women attending the 3 control prenatal clinics received routine care with visits every 4 weeks until 30 weeks gestation every 2 weeks until 35 weeks gestation and every week thereafter. 1774 women at the 5 experimental clinics were seen every 2 weeks up to 37 weeks were offered 3 classes in strategies to reduce the likelihood of a preterm birth and were randomly assigned to 5 groups: bed rest counseling and stress reduction administration of an oral progestin administration of a placebo and no secondary intervention. By week 37 experimental patients had made 6.4 prenatal visits as compared with 4.9 among controls and had a 19% lower proportion of preterm births (7.4% of experimental and 9.1% of controls gave birth before 37 weeks). Preterm birth was related to the number of high-risk problems (the risk factor increased 37% for each problem) the number of previous pregnancies and the womans educational level. Thus attendance at an experimental clinic reduced the likelihood of premature birth by 22%. None of the secondary interventions produced an apparent benefit. The cost-benefit analysis was based on the costs of prenatal care inpatient treatment for preterm labor delivery and postpartum care and newborn inpatient care. A net savings of $1768 was calculated per high-risk patient. In this population however a significant proportion of the preterm births resulted from spontaneous preterm labor which may be more amenable to prevention than are other complications. Also the analysis excluded stillbirths and babies born with major congenital abnormalities. These events occurred equally in the 2 groups." @default.
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- W161857906 date "1994-01-01" @default.
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- W161857906 title "Experimental prenatal care program reduced preterm deliveries by 20% saved $1800 per high-risk woman." @default.
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