Preterm labor - PubMed (original) (raw)

Review

. 2010 Feb 15;81(4):477-84.

Affiliations

• PMID: 20148502

Free article

Review

Preterm labor

William G Sayres Jr. Am Fam Physician. 2010.

Free article

Abstract

Preventing preterm delivery remains one of the great challenges in modern medicine. Preterm birth rates continue to increase and accounted for 12.7 percent of all U.S. births in 2005. The etiology of preterm delivery is unclear, but is likely to be complex and influenced by genetics and environmental factors. Women with previous preterm birth are at increased risk of subsequent preterm delivery and may be candidates for treatment with antenatal progesterone. Fetal fibronectin testing and endovaginal ultrasonography for cervical length are useful for triage. For the patient in preterm labor, only antenatal corticosteroids and delivery in a facility with a level III neonatal intensive care unit have been shown to improve outcomes consistently. Tocolytic agents may delay delivery for up to 48 hours, enabling the administration of antenatal corticosteroids or maternal transfer. Routine use of antibiotics in preterm labor is not indicated except for group B streptococcus prophylaxis or treatment of chorioamnionitis.

PubMed Disclaimer

Comment in

• Magnesium sulfate in women with threatened preterm birth.
  Garrison AW. Garrison AW. Am Fam Physician. 2010 Dec 1;82(11):1310-1; author reply 1312. Am Fam Physician. 2010. PMID: 21121512 No abstract available.

Similar articles

• Preventing the complications of preterm birth.
  Lefevre ML. Lefevre ML. Am Fam Physician. 1992 Aug;46(2):441-8. Am Fam Physician. 1992. PMID: 1636560 Review.
• Preterm labor: diagnosis and treatment.
  Von Der Pool BA. Von Der Pool BA. Am Fam Physician. 1998 May 15;57(10):2457-64. Am Fam Physician. 1998. PMID: 9614414 Review.
• Preterm labor: approach to decreasing complications of prematurity.
  Locatelli A, Consonni S, Ghidini A. Locatelli A, et al. Obstet Gynecol Clin North Am. 2015 Jun;42(2):255-74. doi: 10.1016/j.ogc.2015.01.004. Epub 2015 Mar 9. Obstet Gynecol Clin North Am. 2015. PMID: 26002165 Review.
• Management of preterm labor and prevention of premature delivery.
  Papke KR. Papke KR. Nurs Clin North Am. 1993 Jun;28(2):279-88. Nurs Clin North Am. 1993. PMID: 8516173 Review.
• Preterm labour management--an evidence--update.
  Piyamongkol W. Piyamongkol W. J Med Assoc Thai. 2004 Oct;87 Suppl 3:S154-7. J Med Assoc Thai. 2004. PMID: 21213513

Cited by

• Angiopoietin-2 primes infection-induced preterm delivery.
  Polyzou EN, Evangelinakis NE, Pistiki A, Kotsaki A, Siristatidis CS, Chrelias CG, Salamalekis E, Kassanos DP, Giamarellos-Bourboulis EJ. Polyzou EN, et al. PLoS One. 2014 Jan 21;9(1):e86523. doi: 10.1371/journal.pone.0086523. eCollection 2014. PLoS One. 2014. PMID: 24466134 Free PMC article.
• Identification of Preterm Labor Evaluation Visits and Extraction of Cervical Length Measures from Electronic Health Records Within a Large Integrated Health Care System: Algorithm Development and Validation.
  Xie F, Khadka N, Fassett MJ, Chiu VY, Avila CC, Shi J, Yeh M, Kawatkar A, Mensah NA, Sacks DA, Getahun D. Xie F, et al. JMIR Med Inform. 2022 Sep 6;10(9):e37896. doi: 10.2196/37896. JMIR Med Inform. 2022. PMID: 36066930 Free PMC article.
• Clinical Question: In women with preterm labor, do repeated courses of prenatal corticosteroids improve neonatal outcomes compared to a single course?
  Hutchinson M, Hodgden JD. Hutchinson M, et al. J Okla State Med Assoc. 2018 Jan;111(1):498-499. J Okla State Med Assoc. 2018. PMID: 30532343 Free PMC article.
• Women's perspectives of the fetal fibronectin testing process: a qualitative descriptive study.
  Peterson WE, Sprague AE, Reszel J, Walker M, Fell DB, Perkins SL, Dunn SI, Johnson M. Peterson WE, et al. BMC Pregnancy Childbirth. 2014 Jun 4;14:190. doi: 10.1186/1471-2393-14-190. BMC Pregnancy Childbirth. 2014. PMID: 24894630 Free PMC article.
• The impact of heat exposure on reduced gestational age in pregnant women in North Carolina, 2011-2015.
  Ward A, Clark J, McLeod J, Woodul R, Moser H, Konrad C. Ward A, et al. Int J Biometeorol. 2019 Dec;63(12):1611-1620. doi: 10.1007/s00484-019-01773-3. Epub 2019 Jul 31. Int J Biometeorol. 2019. PMID: 31367892

Publication types

MeSH terms

Substances

LinkOut - more resources

• Full Text Sources

  • American Academy of Family Physicians
  • ClinicalKey

• Other Literature Sources

  • The Lens - Patent Citations Database