| Problems and challenges in the management of preterm labour. | |
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MedLine Citation:
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PMID: 12763118 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The main problem with preterm labour is our lack of progress in the successful management of this condition. We need to reassess our approach to this problem because preterm labour is not a disease, but an event, which may result from multiple independent pathways. This problem has also been affected significantly by medical advances such as infertility treatments and changes in neonatal survival at the limit of viability. The specific challenges that we face in managing preterm labour include: problems with definition; aetiology, including genetic and infection components; diagnostic problems, such as true versus false labour and role of cervical length and fetal fibronectin; and specific interventions according to the antepartum, intrapartum and postpartum challenges. In order to address the main issue, and make future progress in the management of preterm labour, we should consider the implementation of a 'Postpartum Preterm Labour Diagnostic Workup Protocol'. These data/workup results could be entered on web-based databases for each preterm labour 'event'. An international research team could analyse data relating to specific aetiological patterns and subgroup analyses, leading to the collaborative development of 'aetiology specific' management modalities. This approach requires a close collaboration between clinicians and researchers, in order to make significant progress in this difficult area, and ultimately improve perinatal outcomes. |
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Authors:
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Helen M McNamara |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: BJOG : an international journal of obstetrics and gynaecology Volume: 110 Suppl 20 ISSN: 1470-0328 ISO Abbreviation: BJOG Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-05-23 Completed Date: 2003-07-10 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
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Languages: eng Pagination: 79-85 Citation Subset: AIM; IM |
Affiliation:
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Perinatal Research, Department of Obstetrics & Gynecology, McGill University & Royal Victoria Hospital, Montreal, Quebec, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care Cerclage, Cervical Female Forecasting Hospitalization Humans Obstetric Labor, Premature / diagnosis, etiology, therapy* Postnatal Care Pregnancy Prenatal Care Research |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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