Title
Prevention and not merely prediction of preterm labor and delivery
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Subject
Human medicine
Source (journal)
World journal of obstetrics and gynecology
Volume/pages
1(2012) :3 , p. 17-19
ISSN
2218-6220
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Different methods have been proposed to screen for preterm labor and delivery; most of these aim to predict the risk that preterm delivery is going to take place. However, interesting though this knowledge might be, knowing the future is of no use when no changes can be made. Recent publications have suggested new and exciting modalities to actually diminish the frequency of preterm birth in patients selected by transvaginal cervical length measurement; these modalities include vaginal progesterone and vaginal pessaries. Although promising, many questions remain to be answered; not least about the long term outcome for both neonates and mothers, but also on the eventual introduction of such strategies to the general obstetric population. One of the main problems that urgently needs clarification is how we are going to offer this best of medicine to those needing it most: deprived and socially isolated women who have the highest risk for preterm labor and delivery, probably not due to any congenital cervical problems, but to a combination of environmental, microbiological and social factors, including transgenerational poverty and deprivation.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/b43430/75b78883.pdf
Handle