Review Article
Volume 9 Issue 2 - 2020
Management of Premature Labor
Fayzah Ahmed Andegani1*, Kamal Mohammad Khan2, Salma Ali Almagaadi2, Mohammed Sami Basubrain2, Abdullah Nasser M Alotaibi3, Abdulrahman Adnan Abukhashaba4, Feras Fauzy Allehyani5, Noha Jameel Alhamawi2, Nouf Obaid Alhazmi6, Maha Hamed Rabea Altowairqi7, Bayan Yahya Almuzaini2, Sara Nabeel Mermulla4 and Abdullah Abdulrahman Alsaeed8
1King Abdulaziz Hospital, Jeddah, Saudi Arabia
2Ibn Sina National College, Saudi Arabia
3Prince Sattam Bin Abdulaziz University, Saudi Arabia
4King Abdulaziz Hospital, Makkah, Saudi Arabia
5Umm al-Qura University, Saudi Arabia
6Taibia University, Saudi Arabia
7Ohud Hospital, Saudi Arabia
8Almalaz Primary Health Care, Saudi Arabia
*Corresponding Author: Fayzah Ahmed Andegani, King Abdulaziz Hospital, Jeddah, Saudi Arabia.
Received: January 03, 2020; Published: January 18, 2020




Abstract

Introduction: Preterm birth is defined as a delivery before 37 weeks of gestation. It affects about 5 - 18% of pregnancies. Preterm birth is a leading cause of neonatal death, it is also the second most common cause of death in children below 5 years of age. Preterm infants have a higher risk of short-term complications (due to the immaturity of their organ systems) and neuro-developmental disorders such as intellectual disability, vision and/or hearing impairment and also cerebral palsy. Disability-adjusted life years, which is the number of years of life lost due to illness, disability or an early death, has preterm birth as its leading cause. The cost of health care related to this in the United States is about $26.2 billion annually. Most common cause of preterm births is idiopathic. Other causes include fetal factors, placental and uterine factors and maternal chronic diseases. 70% of preterm births in the US are idiopathic and the remaining are mostly related to pre-eclampsia (50%), fetal distress (25%) or placental abruption (25%).

Objectives: In this review, we will discuss the recent advances in management of premature labor.

Methodology: We did a systematic search for management of preterm labor using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). All relevant studies were retrieved and discussed. We only included full articles.

Conclusion: Preterm labor is a multifactorial condition accompanied with a great risk of morbidity and mortality. direction towards Prevention is by identifying women at risk and comprises screening and treatment for bacterial vaginosis, introducing cerclage in appropriate women and giving progesterone prophylaxis. The management of established preterm labor must be directed towards identifying those women in whom a delay in delivery is likely to be helpful and those in whom it may be harmful in terms of the outcome in neonates or infants. 

Keywords: Preterm Labor; Premature Birth; Intrauterine Infection; Premature Rupture of Birth

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Citation: Ahmed Andegani., et al. “Management of Premature Labor”. EC Gynaecology 9.2 (2020): 01-08.

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