Document Detail


Preterm birth: a puzzle worth solving.
MedLine Citation:
PMID:  2193277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of preterm birth has not declined in spite of obstetric and neonatal advances. Although results are variable, the majority of preterm birth prevention programs that embody risk assessment, patient education, and frequent provider visits have shown promise in reducing early births compared with those patients receiving standard care. More recently, home uterine activity monitoring has been shown to be accurate in demonstrating contraction frequency. The combination of this assessment method to detect increased uterine activity at the earliest possible time and intensive perinatal nursing support as to symptomatology related to preterm labor has led to an earlier detection of preterm labor. This, when combined with a comprehensive program of preterm birth prevention, has in many studies resulted in a decrease in the number of early deliveries. To achieve reduction in preterm births, however, these programs must be integrated with aggressive physician management of tocolytic therapy of such patients and continued intensive involvement in such gestations.
Authors:
J C Morrison
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  76     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1990 Jul 
Date Detail:
Created Date:  1990-08-01     Completed Date:  1990-08-01     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  5S-12S     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson.
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MeSH Terms
Descriptor/Qualifier:
Cardiotocography
Female
Humans
Monitoring, Physiologic
Obstetric Labor, Premature / etiology,  physiopathology,  prevention & control*
Patient Education as Topic
Pregnancy
Prenatal Care
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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