Management of a woman with a previous preterm birth

S. J. Stock, C. Oyston, J. E. Norman

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Reducing the impact of preterm birth is one of the challenges in modern obstetric practice. This article provides a case-based discussion of management of women with a previous preterm birth. Estimating the risk of a subsequent preterm delivery can be improved by assessment of obstetric history. Primary preventative strategies include lifestyle advice and modification of pre-pregnancy risk factors. Antenatal care involves increased monitoring and supportive care. The usefulness of screening for preterm birth using cervical length ultrasound or biochemical tests of cervicovaginal secretions lie mainly in their negative predictive value, allowing recognition of women in whom subsequent preterm birth is unlikely. Potential prophylactic therapies in high-risk women include marine oils, progesterone pessaries and cervical cerclage, but none have been shown to improve neonatal outcome. The need for further research is highlighted.
Original languageEnglish
Pages (from-to)53-58
Number of pages6
JournalObstetrics, Gynaecology and Reproductive Medicine
Volume23
Issue number2
DOIs
Publication statusPublished - 2013

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