| The management of preterm labor. | |
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MedLine Citation:
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PMID: 12423870 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Preterm birth is the leading cause of neonatal mortality and a substantial portion of all birth-related short- and long-term morbidity. Spontaneous preterm labor is responsible for more than half of preterm births. Its management is the topic of this review. Although there are many maternal characteristics associated with preterm birth, the etiology in most cases is not clear, although, for the earliest cases, the role of intrauterine infection is assuming greater importance. Most efforts to prevent preterm labor have not proven to be effective, and equally frustrating, most efforts at arresting preterm labor once started have failed. The most important components of management, therefore, are aimed at preventing neonatal complications through the use of corticosteroids and antibiotics to prevent group B streptococcal neonatal sepsis, and avoiding traumatic deliveries. Delivery in a medical center with an experienced resuscitation team and the availability of a newborn intensive care unit will ensure the best possible neonatal outcomes. Obstetric practices for which there is little evidence of effectiveness in preventing or treating preterm labor include the following: bed rest, hydration, sedation, home uterine activity monitoring, oral terbutaline after successful intravenous tocolysis, and tocolysis without the concomitant use of corticosteroids. |
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Authors:
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Robert L Goldenberg |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 100 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2002 Nov |
Date Detail:
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Created Date: 2002-11-08 Completed Date: 2002-12-10 Revised Date: 2009-10-26 |
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: 1020-37 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama 35294-0021, USA. rlg@uab.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Obstetric Labor, Premature / etiology, prevention & control, therapy* Pregnancy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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