The preterm birth syndrome: issues to consider in creating a classification system.


Goldenberg, RL; Gravett, MG; Iams, J; Papageorghiou, AT; Waller, SA; Kramer, M; Culhane, J; Barros, F; Conde-Agudelo, A; Bhutta, ZA; Knight, HE; Villar, J; (2012) The preterm birth syndrome: issues to consider in creating a classification system. American journal of obstetrics and gynecology, 206 (2). pp. 113-8. ISSN 0002-9378 DOI: https://doi.org/10.1016/j.ajog.2011.10.865

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Abstract

A comprehensive classification system for preterm birth requires expanded gestational boundaries that recognize the early origins of preterm parturition and emphasize fetal maturity over fetal age. Exclusion of stillbirths, pregnancy terminations, and multifetal gestations prevents comprehensive consideration of the potential causes and presentations of preterm birth. Any step in parturition (cervical softening and ripening, decidual-membrane activation, and/or myometrial contractions) may initiate preterm parturition, and should be recorded for every preterm birth, as should the condition of the mother, fetus, newborn, and placenta, before a phenotype is assigned.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 22177186
Web of Science ID: 299836800012
URI: http://researchonline.lshtm.ac.uk/id/eprint/945331

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