Diagnosis of early preterm labour

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Diagnosis of early preterm labour.

While preterm contractions occur almost as often extremely preterm as they do closer to term, birth due to spontaneous preterm labour before 27 weeks of gestation is rare, accounting for 0.05-0.7% of all births in different populations. Although the likelihood that uterine contractions before 27 weeks of gestation represent true preterm labour is low, the risk of adverse outcome in such cases i...

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Controversies in diagnosis of preterm labour.

Despite scientific advances, efforts to prevent preterm birth can be disappointing. Obstetric care must focus on strategies to improve the outcome of preterm infants. The major goal is to delay preterm birth long enough to allow the transfer of women about to deliver preterm to a facility with a neonatal intensive care unit and to administer corticosteroids to enhance fetal lung maturation. A p...

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Management of preterm labour.

The above quote testifies to the complexity of preterm labour, a process that ultimately results in considerable neonatal morbidity and mortality. It is diYcult to quantify the incidence of spontaneous preterm labour, as many studies relating to preterm birth do not discriminate between spontaneous preterm labour and iatrogenic/therapeutic preterm delivery. The picture is further complicated as...

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Pathophysiology of preterm labour.

A specific pathogenic process of premature delivery represents the inflammation. Birth canal infections seem to play a key role in the ethiopathogenesis of premature delivery; the related biochemical changes significantly affect perinatal morbidity and mortality. Other potential causes, particularly hormone metabolism disorders or uteroplacental ischaemia have been intensively studied. This pro...

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Evidence-based labour ward guidelines for the diagnosis, management and treatment of spontaneous preterm labour.

Currently, there is considerable variation in the way spontaneous preterm labour is diagnosed and managed internationally. As a result, 12 international leading experts from 10 countries met to establish consensus on clinical recommendations and guidelines regarding the diagnosis, management and treatment of spontaneous preterm labour. The consensus was supported by evidence from quality litera...

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ژورنال

عنوان ژورنال: BJOG: An International Journal of Obstetrics & Gynaecology

سال: 2006

ISSN: 1470-0328

DOI: 10.1111/j.1471-0528.2006.01125.x