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

被引：152

作者：

Goldenberg, Robert L. ^{[1
]}

Gravett, Michael G. ^{[2
]}

Iams, Jay ^{[3
]}

Papageorghiou, Aris T. ^{[4
]}

Waller, Sarah A. ^{[2
]}

Kramer, Michael ^{[5
,6
]}

Culhane, Jennifer ^{[7
]}

Barros, Fernando ^{[8
]}

Conde-Agudelo, Augustin ^{[9
,10
]}

Bhutta, Zulfiqar A. ^{[11
]}

Knight, Hannah E. ^{[4
]}

Villar, Jose ^{[4
]}

机构：

[1] Drexel Univ, Dept Obstet & Gynecol, Philadelphia, PA 19104 USA

[2] Univ Washington, Dept Obstet & Gynecol, Seattle, WA 98195 USA

[3] Ohio State Univ, Dept Obstet & Gynecol, Med Ctr, Div Maternal Fetal Med, Columbus, OH 43210 USA

[4] Univ Oxford, Nuffield Dept Obstet & Gynaecol, Oxford, England

[5] McGill Univ, Dept Pediat, Fac Med, Montreal, PQ H3A 2T5, Canada

[6] McGill Univ, Fac Med, Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ H3A 2T5, Canada

[7] Univ Penn, Dept Pediat, Philadelphia, PA 19104 USA

[8] Univ Catolica Pelotas, Postgrad Course Hlth & Behav, Pelotas, RS, Brazil

[9] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Perinatol Res Branch, NIH, Dept Hlth & Human Serv, Bethesda, MD USA

[10] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Perinatol Res Branch, NIH, Dept Hlth & Human Serv, Detroit, MI USA

[11] Aga Khan Univ, Div Women & Child Hlth, Karachi, Pakistan

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 206卷 / 02期

关键词：

classification; phenotype; preterm birth; BACTERIAL VAGINOSIS; PERINATAL-MORTALITY; RISK-FACTORS; DELIVERY; SUBTYPES; HETEROGENEITY; ASSOCIATION; GESTATION; MORBIDITY; HISTORY;

D O I：

10.1016/j.ajog.2011.10.865

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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.

引用

页码：113 / 118

页数：6

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