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

Robert L Goldenberg1, Michael G Gravett, Jay Iams

  • 1Department of Obstetrics and Gynecology, Drexel University, Philadelphia, PA, USA.

American Journal of Obstetrics and Gynecology
|December 20, 2011
PubMed

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.

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