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Published in: Archives of Gynecology and Obstetrics 5/2019

01-05-2019 | Premature Birth | Maternal-Fetal Medicine

Prevention of spontaneous preterm birth

Authors: George Daskalakis, Maria Goya, Vasilios Pergialiotis, Luis Cabero, Ioannis Kyvernitakis, Aris Antsaklis, Birgit Arabin

Published in: Archives of Gynecology and Obstetrics | Issue 5/2019

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Abstract

Background

It is estimated that globally, approximately 13 million preterm infants are born annually and a much higher number of pregnancies are characterized by threatening preterm birth.

Findings

A proportional inverse correlation between gestational age at delivery and neonatal mortality has been observed which is more prevalent in countries without high standard neonatal care. The socioeconomic burden of preterm birth is enormous, as preterm neonates are particularly prone to severe morbidity that may expand up to adulthood. Several strategies have been proposed for the prevention of preterm birth which can be sub-stratified as primary (when these apply to the general population), secondary (when they target women at risk), and tertiary (optimizing neonatal outcomes when preterm birth cannot any longer be prevented). The aim of this review is to summarize the most important strategies.
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Metadata
Title
Prevention of spontaneous preterm birth
Authors
George Daskalakis
Maria Goya
Vasilios Pergialiotis
Luis Cabero
Ioannis Kyvernitakis
Aris Antsaklis
Birgit Arabin
Publication date
01-05-2019
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 5/2019
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-019-05095-y

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