| Nomenclature for pregnancy outcomes: time for a change. | |
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MedLine Citation:
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PMID: 22105271 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Traditionally, obstetricians have grouped together all pregnancy losses before the mid-second trimester as spontaneous abortions. However, this nomenclature is arbitrary, outdated, and not clinically useful. Using this system, miscarriages due to genetic abnormalities, fetal deaths associated with abnormal placental growth and development, and spontaneous preterm births of liveborn fetuses at previable gestations are lumped together in a single category. In addition, the term abortion is fraught with emotional connotations for families suffering the loss of a pregnancy. Thus, whereas the existing classification for pregnancy loss has served a somewhat pragmatic role, it ignores precepts of developmental biology and the clinical realities of these adverse pregnancy outcomes. In this article, we propose a more useful nomenclature for pregnancy loss and preterm births that is informative and is based on developmental periods in gestation and shared pathophysiology. |
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Authors:
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Robert M Silver; D Ware Branch; Robert Goldenberg; Jay D Iams; Mark A Klebanoff |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 118 ISSN: 1873-233X ISO Abbreviation: Obstet Gynecol Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-11-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 1402-8 Citation Subset: AIM; IM |
Affiliation:
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From the Departments of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah, and Drexel University School of Medicine, Philadelphia, Pennsylvania; and the Departments of Obstetrics and Gynecology and Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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