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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1989-7-11
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pubmed:abstractText |
A study was undertaken to evaluate Coopland's obstetric risk index in a rural primary care setting. Information on 635 pregnant women cared for in a rural practice was collected prospectively. Adverse outcome was defined as perinatal death, birthweight less than 2500 g, 5-minute Apgar score less than 7, or newborn transferred to a level 2 or level 3 nursery. Forty-seven pregnancies (8.3%) had an adverse outcome. There was a clear relationship between risk score and probability of adverse outcome. Good sensitivity could be achieved only at the expense of a very high false-positive rate, however. The index can be used to identify a subgroup of women at relatively high risk for adverse outcome, but the majority of adverse outcomes will occur in women identified as low risk. The risk-scoring system in this population was no more effective than a policy that would refer all women with standard obstetric risk factors.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0094-3509
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
691-5; discussion 695-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2656905-Adult,
pubmed-meshheading:2656905-Apgar Score,
pubmed-meshheading:2656905-Evaluation Studies as Topic,
pubmed-meshheading:2656905-Female,
pubmed-meshheading:2656905-Humans,
pubmed-meshheading:2656905-Infant, Low Birth Weight,
pubmed-meshheading:2656905-Infant, Newborn,
pubmed-meshheading:2656905-Infant Mortality,
pubmed-meshheading:2656905-Missouri,
pubmed-meshheading:2656905-Pregnancy,
pubmed-meshheading:2656905-Pregnancy Outcome,
pubmed-meshheading:2656905-Probability,
pubmed-meshheading:2656905-Prospective Studies,
pubmed-meshheading:2656905-Risk,
pubmed-meshheading:2656905-Risk Factors,
pubmed-meshheading:2656905-Rural Health,
pubmed-meshheading:2656905-Sensitivity and Specificity
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pubmed:year |
1989
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pubmed:articleTitle |
Obstetric risk assessment in rural practice.
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pubmed:affiliation |
Department of Family and Community Medicine, University of Missouri, Columbia 65212.
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pubmed:publicationType |
Journal Article
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