Obstetricians play a relevant role in minimizing neonatal morbidity and mortality for women in preterm labor. Tocolytic agents can delay preterm birth for at least 2 days, thus allowing the administration of antenatal corticosteroid and in-utero transfer to appropriate neonatal health care settings, interventions that reduce neonatal mortality and morbidity. Antibiotics besides group B streptococcus prophylaxis are not indicated. The benefit/risk ratio of amniocentesis has not been assessed yet. Magnesium sulfate significantly reduces the risk of cerebral palsy. Cesarean delivery benefits fetuses in breech presentation and those severely growth restricted at <34 weeks. In preterm infants delayed clamping is associated with significant benefits.

Locatelli, A., Locatelli, A., Ghidini, A. (2015). Preterm Labor: Approach to Decreasing Complications of Prematurity. OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA, 42(2), 255-274 [10.1016/j.ogc.2015.01.004].

Preterm Labor: Approach to Decreasing Complications of Prematurity

LOCATELLI, ANNA;Locatelli, Anna;
2015

Abstract

Obstetricians play a relevant role in minimizing neonatal morbidity and mortality for women in preterm labor. Tocolytic agents can delay preterm birth for at least 2 days, thus allowing the administration of antenatal corticosteroid and in-utero transfer to appropriate neonatal health care settings, interventions that reduce neonatal mortality and morbidity. Antibiotics besides group B streptococcus prophylaxis are not indicated. The benefit/risk ratio of amniocentesis has not been assessed yet. Magnesium sulfate significantly reduces the risk of cerebral palsy. Cesarean delivery benefits fetuses in breech presentation and those severely growth restricted at <34 weeks. In preterm infants delayed clamping is associated with significant benefits.
Articolo in rivista - Articolo scientifico
Antibiotics; Corticosteroids; Delayed cord clamping; In utero transfer; Magnesium sulfate; Mode of delivery; Prematurity; Tocolysis;
English
255
274
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Locatelli, A., Locatelli, A., Ghidini, A. (2015). Preterm Labor: Approach to Decreasing Complications of Prematurity. OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA, 42(2), 255-274 [10.1016/j.ogc.2015.01.004].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/147827
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