Maintenance tocolysis, tocolysis in preterm premature rupture of membranes and in cervical cerclage - a Germany-wide survey on the current practice after dissemination of the German guideline
Stelzl P, Kehl S, Oppelt P, Mayr A, Fleckenstein T, Maul H, Enengl S, Berger R, Rath W (2023)
Publication Type: Journal article
Publication year: 2023
Journal
Abstract
Objectives: To investigate the adherence of German perinatal specialist units and those of basic obstetric care to the national guideline we compared data from a nation-wide survey on the practice of maintenance tocolysis, tocolysis in preterm premature rupture of membranes and in the perioperative setting of cervical cerclage, and bedrest during and after tocolysis with recommendations from the current German Guideline 015/025 "Prevention and Treatment of Preterm Birth".Methods: 632 obstetric clinics in Germany were approached and received a link to an online questionnaire. Data were descriptively analyzed by performing measures of frequency. To compare two or more groups Fisher's exact test was used.Results: The response rate was 19%; 23 (19.2%) of respondents did not perform maintenance tocolysis, while 97 (80.8%) conducted maintenance tocolysis; 30 (25.0%) of obstetric units performed cervical cerclage without tocolysis and 90 (75.0%) combined cervical cerclage with tocolysis; 11 (9.2%) of respondents did not use tocolytics in patients with preterm premature rupture of membranes, while 109 (90.8%) conducted tocolysis in these patients; 69 (57.5%) of obstetric units did not recommend bed rest during tocolysis, whereas 51 (42.5%) favored bedrest. Perinatal care centers of basic obstetric care recommend bed arrest during tocolysis statistically significant more often to their patients than those of higher perinatal care levels (53.6 vs. 32.8%, p=0.0269).Conclusions: The results of our survey are in accordance to others from different countries and reveal considerable discrepancies between evidence-based guideline recommendations and daily clinical practice.
Authors with CRIS profile
Involved external institutions
Kepler Universitätsklinikum (KUK)
Austria (AT)
Rheinische Friedrich-Wilhelms-Universität Bonn
Germany (DE)
Asklepios Klinik Barmbek
Germany (DE)
Marienhaus Klinikum Bendorf - Neuwied - Waldbreitbach
Germany (DE)
Universitätsklinikum Schleswig-Holstein (UKSH)
Germany (DE)
Austria (AT)
Rheinische Friedrich-Wilhelms-Universität Bonn
Germany (DE)
Asklepios Klinik Barmbek
Germany (DE)
Marienhaus Klinikum Bendorf - Neuwied - Waldbreitbach
Germany (DE)
Universitätsklinikum Schleswig-Holstein (UKSH)
Germany (DE)
How to cite
APA:
Stelzl, P., Kehl, S., Oppelt, P., Mayr, A., Fleckenstein, T., Maul, H.,... Rath, W. (2023). Maintenance tocolysis, tocolysis in preterm premature rupture of membranes and in cervical cerclage - a Germany-wide survey on the current practice after dissemination of the German guideline. Journal of Perinatal Medicine. https://doi.org/10.1515/jpm-2022-0572
MLA:
Stelzl, Patrick, et al. "Maintenance tocolysis, tocolysis in preterm premature rupture of membranes and in cervical cerclage - a Germany-wide survey on the current practice after dissemination of the German guideline." Journal of Perinatal Medicine (2023).
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