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Current Preterm Birth Prevention Strategies.

Noelle Breslin1, Cynthia Gyamfi-Bannerman2

  • 1Columbia University Irving Medical Center, Department of Maternal and Fetal Medicine, 622 West 168th Street, Ph 12-28, New York, NY 10032, USA.

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|November 6, 2020
PubMed
Summary
This summary is machine-generated.

Preterm birth is a leading cause of infant death globally. Cervical length screening may help identify women at high risk for recurrent preterm birth and de novo risk.

Keywords:
CerclageCervical lengthPessaryPreterm birthProgesterone

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Health
  • Maternal-Fetal Medicine

Background:

  • Preterm birth affects 10.2% of US births and 10.8% globally, remaining a significant obstetric challenge.
  • It is the primary cause of neonatal morbidity and mortality, and the leading cause of death in children under five.
  • Prior preterm birth history is the most critical risk factor.

Purpose of the Study:

  • To highlight the significance of preterm birth as a global health issue.
  • To emphasize the importance of identifying risk factors for preterm birth.
  • To explore the potential of cervical length screening for predicting recurrent and de novo preterm birth.

Main Methods:

  • Review of existing research on preterm birth incidence and risk factors.
  • Analysis of the role of prior preterm birth history.
  • Evaluation of cervical length screening as a predictive tool.

Main Results:

  • Preterm birth rates remain high despite interventions.
  • A history of previous preterm birth is the strongest predictor.
  • Cervical length screening shows promise in identifying at-risk pregnancies.

Conclusions:

  • Effective strategies are needed to reduce preterm birth rates.
  • Cervical length measurement is a valuable tool for risk assessment.
  • Early identification through screening can potentially improve outcomes for preterm infants.