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    Prevention of preterm birth.

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    Authors
    Flood, Karen
    Malone, Fergal D
    Issue Date
    2012-02
    Keywords
    CHILDBIRTH
    NEONATE
    MeSH
    Female
    Humans
    Infant, Newborn
    Pregnancy
    Premature Birth
    Risk Factors
    
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    Citation
    Prevention of preterm birth. 2012, 17 (1):58-63 Semin Fetal Neonatal Med
    Journal
    Seminars in Fetal & Neonatal Medicine
    URI
    http://hdl.handle.net/10147/306957
    DOI
    10.1016/j.siny.2011.08.001
    PubMed ID
    21893439
    Abstract
    Preterm birth (delivery before 37 completed weeks of gestation) is common and rates are increasing. In the past, medical efforts focused on ameliorating the consequences of prematurity rather than preventing its occurrence. This approach resulted in improved neonatal outcomes, but it remains costly in terms of both the suffering of infants and their families and the economic burden on society. Increased understanding of the pathophysiology of preterm labor has altered the approach to this problem, with increased focus on preventive strategies. Primary prevention is a limited strategy which involves public education, smoking cessation, improved nutritional status and avoidance of late preterm births. Secondary prevention focuses on recurrent preterm birth which is the most recognisable risk factor. Widely accepted strategies include cervical cerclage, progesterone and dedicated clinics. However, more research is needed to explore the role of antibiotics and anti-inflammatory treatments in the prevention of this complex problem.
    Item Type
    Article
    Language
    en
    ISSN
    1878-0946
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.siny.2011.08.001
    Scopus Count
    Collections
    Rotunda Hospital

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