Born too soon: The continuing challenge of preterm Labor and birth in the United States
Born too soon: The continuing challenge of preterm Labor and birth in the United States
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DOI：
10.1016/j.jmwh.2007.02.022
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发表时间：
2007-05-01
影响因子：
2.7
通讯作者：
Reedy, Nancy Jo
中科院分区：
文献类型：
--
作者：
Reedy, Nancy Jo
早产是产科中发病和死亡的首要原因。家庭、医疗服务机构以及教育系统在早产儿的一生中都会受到早产的影响。医疗服务提供者试图通过在孕前和孕期进行预防以及对有症状的女性进行干预来降低早产率。医疗系统无法显著降低早产发生率仍然是一个挑战。使情况更加复杂的是，新的数据显示，孕周在34至37周出生的婴儿，之前被认为受到早产的长期影响极小，但可能比之前所认为的风险更高。本文综述了对出现早产和分娩的女性进行基于证据的风险识别、预防和管理。
Prematurity is the single greatest cause of morbidity and mortality in obstetrics. Families, health care services, and education systems experience the impact of prematurity for the lifetime of the preterm-born child. Health care providers have tried to lower the preterm birth rate with prevention both before and during pregnancy and intervention for symptomatic women. The inability of the health care system to significantly decrease the incidence of preterm birth continues to be a challenge. To further complicate the situation, new data shows that infants born between 34 and 37 weeks' gestation who were thought to have minimal long-term effects of preterm birth may be more at risk than previously appreciated. This article reviews evidence-based risk identification, prevention, and management of women experiencing preterm labor and birth.