Document Detail

Primary, secondary, and tertiary interventions to reduce the morbidity and mortality of preterm birth.
MedLine Citation:
PMID:  18191687     Owner:  NLM     Status:  MEDLINE    
Interventions to reduce the morbidity and mortality of preterm birth can be primary (directed to all women), secondary (aimed at eliminating or reducing existing risk), or tertiary (intended to improve outcomes for preterm infants). Most efforts so far have been tertiary interventions, such as regionalised care, and treatment with antenatal corticosteroids, tocolytic agents, and antibiotics. These measures have reduced perinatal morbidity and mortality, but the incidence of preterm birth is increasing. Advances in primary and secondary care, following strategies used for other complex health problems, such as cervical cancer, will be needed to prevent prematurity-related illness in infants and children.
Jay D Iams; Roberto Romero; Jennifer F Culhane; Robert L Goldenberg
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Lancet     Volume:  371     ISSN:  1474-547X     ISO Abbreviation:  Lancet     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-14     Completed Date:  2008-01-29     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  England    
Other Details:
Languages:  eng     Pagination:  164-75     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Ohio State University, Columbus, OH, USA.
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MeSH Terms
Health Policy
Infant, Newborn
Perinatal Care / methods
Premature Birth* / epidemiology,  mortality,  prevention & control
Prenatal Care*
Prenatal Nutritional Physiological Phenomena
Risk Factors
Tocolytic Agents / therapeutic use*
Reg. No./Substance:
0/Tocolytic Agents

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

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