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Related Concept Videos

Teratogenicity01:07

Teratogenicity

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The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Preterm Birth: Screening and Prediction.

Lyndsay Creswell1, Daniel Lorber Rolnik2, Stephen W Lindow1

  • 1Department of Obstetrics and Gynecology, The Coombe Hospital, Dublin, Ireland.

International Journal of Women'S Health
|December 26, 2023
PubMed
Summary
This summary is machine-generated.

Identifying women at high risk of preterm birth (PTB) is crucial. The QUiPP app combines cervical length, fetal fibronectin, and risk factors to improve prediction and management of PTB.

Keywords:
QUiPPcervical lengthfibronectinpreterm laborscreening

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Area of Science:

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

Background:

  • Preterm birth (PTB) is a leading cause of neonatal mortality and long-term disability globally.
  • Early identification of high-risk pregnancies is essential for timely intervention and improved neonatal outcomes.
  • Transvaginal sonographic cervical length (CL) measurement is a key screening tool for PTB.

Purpose of the Study:

  • To review the predictive capabilities of current PTB screening methods.
  • To evaluate the utility of the QUiPP application in predicting PTB risk.
  • To explore emerging research areas for more accurate PTB prediction.

Main Methods:

  • Review of existing literature on PTB prediction modalities.
  • Assessment of the QUiPP application (v.2) integrating CL, quantitative fetal fibronectin (qfFN), and maternal risk factors.
  • Discussion of novel approaches including cervical stiffness, metabolomics, extracellular vesicles, and AI.

Main Results:

  • The QUiPP app aids in triaging symptomatic and asymptomatic high-risk women.
  • It supports shared decision-making for surveillance, treatment, or reassurance.
  • Accurate PTB prediction optimizes antenatal corticosteroid administration.

Conclusions:

  • Combining CL, qfFN, and risk factors in the QUiPP app improves PTB risk assessment.
  • Emerging technologies show promise for enhancing PTB prediction accuracy.
  • Effective PTB prediction is critical for optimizing neonatal care and outcomes.