Education does not improve patient perception of preterm uterine contractility

Lois E. Brustman, Oded Langer, Akol1sa Anyaegbunam, Catherine Belle, Irwin R. Merkatz

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


In this prospective study, we sought to compare pregnant women's self-perception of their preterm uterine contractility versus electronically obtained data and to evaluate the impact of intensive patient education on increasing aware-ness of the presence of uterine contractions. Thirty-eight women each monitored their uterine activity at home for two 60-minute periods daily during a 21-day sequence. An event marker was used to document perceived contractions and after a 3-day baseline interval, an intensive nursing-service educational intervention was initiated for all subjects. Thirty-five percent of women underreported uterine contractions, whereas only 5% over reported their uterine activity during the study. Derived patient scores of underreporting and over reporting of contractions did not vary among seven consecutive 3-day study intervals. Analysis of the data revealed that patients perceived fewer than 10% of all contractions documented electronically. No improvement in the reliability of patient perception of preterm uterine contractility was obtained after the educational intervention.

Original languageEnglish (US)
Pages (from-to)97S-101S
JournalObstetrics and gynecology
Issue number1
StatePublished - Jul 1990

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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