Challenges in defining and classifying the preterm birth syndrome

被引:168
作者
Kramer, Michael S. [2 ,3 ]
Papageorghiou, Aris [4 ,5 ]
Culhane, Jennifer [6 ]
Bhutta, Zulfiqar [7 ]
Goldenberg, Robert L. [8 ]
Gravett, Michael [9 ,10 ]
Iams, Jay D. [1 ]
Conde-Agudelo, Agustin [11 ,12 ]
Waller, Sarah [9 ]
Barros, Fernando [13 ]
Knight, Hannah [4 ,5 ]
Villar, Jose [4 ,5 ]
机构
[1] Ohio State Univ, Dept Obstet & Gynecol, Columbus, OH 43210 USA
[2] McGill Univ, Dept Pediat, Fac Med, Montreal, PQ H3A 2T5, Canada
[3] McGill Univ, Dept Epidemiol Biostat & Occupat Hlth, Fac Med, Montreal, PQ H3A 2T5, Canada
[4] Univ Oxford, Nuffield Dept Obstet & Gynecol, Oxford, England
[5] Univ Oxford, Oxford Maternal & Perinatal Hlth Inst, Green Templeton Coll, Oxford, England
[6] Univ Penn, Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
[7] Aga Khan Univ, Div Women & Child Hlth, Karachi, Pakistan
[8] Drexel Univ, Dept Obstet & Gynecol, Philadelphia, PA 19104 USA
[9] Univ Washington, Dept Obstet & Gynecol, Seattle, WA 98195 USA
[10] Seattle Childrens Hosp, Seattle, WA USA
[11] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Perinatol Res Branch, NIH, Dept Hlth & Human Serv, Bethesda, MD USA
[12] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Perinatol Res Branch, NIH, Dept Hlth & Human Serv, Detroit, MI USA
[13] Univ Catolica Pelotas, Postgrad Course Hlth & Behav, Pelotas, RS, Brazil
关键词
classification; phenotype; preterm birth; GESTATIONAL-AGE ESTIMATION; UNITED-STATES; BACTERIAL-VAGINOSIS; RISK-FACTORS; DELIVERY; WEIGHT; GROWTH; ULTRASOUND; MORTALITY; TRENDS;
D O I
10.1016/j.ajog.2011.10.864
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
In 2009, the Global Alliance to Prevent Prematurity and Stillbirth Conference charged the authors to propose a new comprehensive, consistent, and uniform classification system for preterm birth. This first article reviews issues related to measurement of gestational age, clinical vs etiologic phenotypes, inclusion vs exclusion of multifetal and stillborn infants, and separation vs combination of pathways to preterm birth. The second article proposes answers to the questions raised here, and the third demonstrates how the proposed system might work in practice.
引用
收藏
页码:108 / 112
页数:5
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