Development

New App can Help Doctors Predict Risk of Preterm Birth

A new app called QUiPP could help doctors to better identify women at risk of giving birth prematurely. The app, developed at King's College London, was tested in two studies of high-risk women being monitored at ante-natal clinics. Worldwide 15 million babies are born preterm (before 37 weeks) each year and over a million of these die of prematurity-related complications. A number of factors are used to determine if a woman is at risk of giving birth prematurely, including a history of preterm births or late miscarriages. Two further factors which doctors can consider are the length of cervix and levels of a biomarker found in vaginal fluid known as fetal fibronectin, which are typically tested from 23 weeks. The investigators have further developed the fetal fibronectin test to be accurately used from the first half of pregnancy.

The app developed at King's uses an algorithm which combines the gestation of previous pregnancies and the length of the cervix with levels of fetal fibronectin to classify a woman's risk. The first study focused on women deemed to be a high risk of preterm birth, usually because of a previous early pregnancy, despite not showing any symptoms. The second study predicted the likelihood of early delivery in a group of women showing symptoms of early labour which often doesn't progress to real labour.

In the first study, published in the journal Ultrasound in Obstetrics & Gynecology, researchers collected data from 1,249 women at high risk for pre-term birth attending pre-term surveillance clinics. The model was developed on the first 624 consecutive women and validated on the subsequent 625. The estimated probability of delivery before 30, 34 or 37 weeks' gestation and within two or four weeks of testing for fetal fibronectin was calculated for each patient and analyzed as a predictive test for the actual occurrence of each event.

In the second study, also published in the journal Ultrasound in Obstetrics & Gynecology, data from 382 high-risk women was collected. The model was developed on the first 190 women and validated on the remaining 192. Probabilities of delivering early were estimated as above.

In both studies, the app was found to perform well as a predictive tool, and far better than each component (previous pregnancy, cervical length or fetal fibronectin) taken alone.

The authors conclude that the app can be used by clinicians to improve the estimation of the probability of premature delivery (before 34 weeks' gestation or within two weeks of the fetal fibronectin test) and to potentially tailor clinical management decisions.

However, further work is needed to clinically evaluate the model in practice, and to ascertain whether interventions improve the pregnancy outcome for women identified as high risk by the app.

Professor Andrew Shennan, lead author who is Professor of Obstetrics at King's College London and consultant obstetrician at Guy's and St Thomas' NHS Foundation Trust, said:

"Despite advances in prenatal care the rate of preterm birth has never been higher in recent years, including in the US and UK, so doctors need reliable ways of predicting whether a woman is at risk of giving birth early. It can be difficult to accurately assess a woman's risk, given that many women who show symptoms of preterm labour do not go on to deliver early.

"The more accurately we can predict her risk, the better we can manage a woman's pregnancy to ensure the safest possible birth for her and her baby, only intervening when necessary to admit these 'higher risk' women to hospital, prescribe steroids or offer other treatments to try to prevent an early birth."

QUiPP is available to download for free from the Apple store.

Most Popular Now

Medelinked Now Integrated with Micr…

Medelinked is now integrated with Microsoft Health and Band. The integration ensures that wellness summary data from Microsoft Health app and Band wearable is available i...

Read more

HealthShare at the Heart of Healthc…

Following a successful pilot programme to deliver more integrated care to heart failure patients, Torbay and South Devon NHS Foundation Trust is rolling out the InterSyst...

Read more

Leading Digital Health Alliances An…

21 - 22 November 2016, Barcelona, Spain. The European Connected Health Alliance (ECHAlliance) and Personal Connected Health Alliance (PCHA) have signed a pivotal agreeme...

Read more

Brain-Machine Interface Triggers Re…

During the 2014 FIFA World Cup opening ceremony, a young Brazilian man, paralyzed from the chest down, delivered the opening kickoff. He used a brain-machine interface, a...

Read more

Nervecentre Launch Mobile Clinical …

Nervecentre Software has launched a mobile clinical photography solution for nurses and doctors in hospitals. Fully integrated directly into the patient record, the mobil...

Read more

in silico Clinical Trials: How Comp…

The term 'in silico clinical trials' refers to: "The use of individualised computer simulation in the development or regulatory evaluation of a medicinal product, medica...

Read more

Gaming Camera could Aid MS Treatmen…

A commonly used device found in living rooms around the world could be a cheap and effective means of evaluating the walking difficulties of multiple sclerosis (MS) patie...

Read more

Siemens and INSIGHTEC Sign Agreemen…

INSIGHTEC, the global leader in MR-guided Focused Ultrasound (MRgFUS) therapy, announced the signing of a strategic agreement with the global leader in Magnetic Resonance...

Read more

Do Pokémon Go and augmented reality…

The combination of augmented reality technology, geocaching, and other novel techniques to create innovative active video games (AVGs) has potential personal and public h...

Read more

Agfa HealthCare Awarded its Fourth …

Agfa HealthCare, a leader and innovator in the medical imaging and healthcare IT space, today announced that the U.S. government has awarded the company its DIN-PACS IV (...

Read more

Kick-off of Grants4Apps Accelerator…

22 August 2016, Berlin, Germany. The Grants4Apps® Accelerator is a mentoring program for digital health startups taking place in Berlin. This year's batch with five star...

Read more

CSC's Care Coordination Solutions A…

CSC (NYSE:CSC), a global leader in next-generation IT services and solutions, today announced that its innovative Care Coordination and Population Health solutions are no...

Read more

Digest Newsletter

Subscribe to our weekly Newsletter and stay updated on the latest eHealth News. Subscribe now, it's free!
© eHealthNews.eu 2006 - 2016