EPIDEMIOLOGIC CHARACTERISTICS OF PRETERM DELIVERY - ETIOLOGIC HETEROGENEITY

EPIDEMIOLOGIC CHARACTERISTICS OF PRETERM DELIVERY - ETIOLOGIC HETEROGENEITY
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DOI:
10.1016/s0002-9378(11)80001-3
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发表时间:
1991-02-01
影响因子:
9.8
通讯作者:
THORP, JM
THORP, JM
中科院分区:
医学1区
文献类型:
--
作者:
SAVITZ, DA;BLACKMORE, CA;THORP, JM

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早产(< 37周妊娠)是由多种病因引起的,可分为特发性早产、胎膜早破和医学并发症。 对提供足够详细信息的出版物数据进行制表,以将早产病例细分为这些组。 尽管术语不一致,报告也不完整,但还是确定了一些模式。 黑人妇女早产的风险明显更高,尤其是早产胎膜早破。 特发性早产主要发生在低风险的白色人群中。 这些观察结果鼓励在病因学和预防研究中考虑早产的亚类。
Preterm delivery (< 37 weeks completed gestation) is known to result from diverse etiologic pathways, which can be grouped into idiopathic preterm labor, preterm premature rupture of the membranes, and medical complications. Data from publications providing sufficient detail to subdivide preterm delivery cases into these groups were tabulated. In spite of inconsistent terminology and incomplete reporting, patterns were identified. Black women have a markedly higher risk of preterm delivery, which is especially pronounced for preterm premature rupture of the membranes. Idiopathic preterm labor is predominant in lower-risk, white populations. These observations encourage consideration of subcategories of preterm delivery in studies of etiology and prevention.