Teratogen risk counselling by internet: a prospective cohort study.
نویسندگان
چکیده
Although the internet may play a role in providing proper teratogen-risk counselling for pregnant women, the experience with this type of service has not been reported. We aimed to compare the pregnancy outcome of women counselled by the internet to women that received typically in-clinic teratogen risk counselling in the clinic. In a prospective cohort design, 1,011 patients were counselled in the clinic and 235 patients were counselled via the internet. Teratogen risk counselling was provided according with the information obtained from medical literature and specialised software. Information about pregnancy outcome (delivery, spontaneous abortion, or termination of pregnancy and major malformations) was obtained from 903 (89.3%) patients from the clinic group and 141 (60%) from the internet group. The amount of alcohol, cigarettes smoked, and millirads of X-ray were greater ( p < 0.05) in patients counselled by internet than in clinic. The rate of deliveries, ongoing pregnancies, pregnancy terminations, and spontaneous abortions were similar between clinic and internet (chi2 = 1.32; p = 0.7). Of 498 babies born to mothers counselled in the clinic, major malformations were identified in 3.6%. Of 67 babies born to mothers counselled by internet, major malformations were present in 1.5% ( p = 0.6). Teratogen-risk counselling by internet and clinic seems to have a similar efficacy in pregnancy outcome.
منابع مشابه
Risk Factors for Growth Failure of One-Year Old Children in the Suburbs of Bandar Abbas City: A Population-Based Prospective Cohort Study in the South of Iran, Conducted by Bandar Abbas Health Research Station
Background and Aim: The aim of this study was to determine the risk factors of growth failure of one-year old children in the suburban regions of Bandar-e-Abbas City based on a population-based cohort study conducted by Bandar Abbas Health Research Station, affiliated to School of Public Health, Tehran University of Medical Sciences in the south of Iran. Materials and Methods: In this prospec...
متن کاملIn Vitro Maturation of Oocytes in Women at Risk of Ovarian Hyperstimulation Syndrome-A Prospective Multicenter Cohort Study
Objective In vitro maturation (IVM) is an artificial reproductive technology in which immature oocytes are harvested from the ovaries and subsequently matured in vitro. IVM does not require ovarian hyperstimulation and thus the risk of ovarian hyperstimulation syndrome (OHSS) is avoided. In this multicenter prospective cohort study we assessed the live birth rate per initiated in vitro maturati...
متن کاملPrediction Value of CRIB-II in Outcome of Preterm and Low Birth Weight Infants: a Prospective Cohort Study
Background: One of the most common methods of identifying mortality risk is the Clinical Risk Index for Babies scoring system (CRIB- II). The aim of this study was assessing the value of CRIB- II in predicting mortality risk in preterm and low birth weight infants in East Azerbaijan- Iran. Materials and Methods: This prospective cohort study was carried out in 2013-2014 during 6 months in NICUs...
متن کاملRisk factors for C-section delivery and population attributable risk for C-section risk factors in Southwest of Iran: a prospective cohort study
Background: Iran has a high C-section rate (40.6% in 2005). The objective of this study was to assess the associations and population-attributable risks (PAR) of risk factors combinations and C-section in the Southwest Iran. Methods: We performed a population-based cohort study using the reports provided by Shiraz University of Medical Sciences. The cohort included pregnant women within Sept...
متن کاملSurvival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran
ABSTRACTBackground: The survival rate of preterm and low-birth-weight (LBW) infants depends on various factors such as birth weight, gestational age, and quality of care. The present study aimed at evaluating the survival rate of preterm and LBW infants, predictive factors, and the risk of mortality in three training hospitals of Mashhad and Tabriz cities.Methods: This prospective, cohort study...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
دوره 25 5 شماره
صفحات -
تاریخ انتشار 2005