medigraphic.com
Revista Médica Sinergia

2020, Number 01

Next >>

Revista Médica Sinergia 2020; 5 (01)

Update on the management of preterm labor

Robles AV, Rojas VS, Thuel GM

Language: Spanish
References: 16
Page: 330
PDF size: 159.69 Kb.


ABSTRACT

Preterm labor is one of the main causes of neonatal morbimortality and one of the most frequent causes of hospitalization during pregnancy. The diagnosis is based on the presence of regular uterine contractions accompanied by cervical changes before 37 weeks of gestation. Recently, objective measures, such as the measurement of cervical length by transvaginal ultrasound and fetal fibronectin, are used for diagnosis, as this is key to the success of the management. The purpose of the treatment of preterm labor is to delay delivery for at least 48 hours, to be able to supply corticosteroids, which are the only medications that have been shown to improve fetal survival, and transfer the patient to a specialized medical center. Tocolytic treatment is reserved for women in whom the delay in childbirth will benefit the newborn and the choice is based on fetal, maternal contraindications and the side effects of each of the agents.


REFERENCES

  1. Romero R, Dey SK, Fisher SJ. Preterm labor: One syndrome, many causes. Science. 2014 08 14;345(6198):760-765. https://doi.org/10.1126/science.1251816

  2. Practice Bulletin No. 171. Obstetrics & Gynecology. 2016 Oct;128(4):e155- e164. https://doi.org/10.1097/aog.0000000000001711

  3. Sen C. Preterm labor and preterm birth. Journal of Perinatal Medicine. 2017 01 01;45(8). https://doi.org/10.1515/jpm-2017-0298

  4. Patel SS, Ludmir J. Drugs for the Treatment and Prevention of Preterm Labor. Clinics in Perinatology. 2019 06;46(2):159-172. https://doi.org/10.1016/j.clp.2019.02.001

  5. Rundell K, Panchal B. Preterm Labor: Prevention and Management. American Family Physician. 2017;95(6):367-372.

  6. Berghella V, Navathe R. Tocolysis for Acute Preterm Labor: Where Have We Been, Where Are We Now, and Where are We Going?. American Journal of Perinatology. 2016 01 25;33(03):229- 235. https://doi.org/10.1055/s-0035-1571147

  7. Berghella V, Palacio M, Ness A, Alfirevic Z, Nicolaides KH, Saccone G. Cervical length screening for prevention of preterm birth in singleton pregnancy with threatened preterm labor: systematic review and meta-analysis of randomized controlled trials using individual patient-level data. Ultrasound in Obstetrics & Gynecology. 2017 02 08;49(3):322-329. https://doi.org/10.1002/uog.17388

  8. Navathe R, Berghella V. Progesterone as a tocolytic agent for preterm labor. Current Opinion in Obstetrics and Gynecology. 2016 Dec;28(6):464-469. https://doi.org/10.1097/gco.0000000000000327

  9. Koullali B, Oudijk M, Nijman T, Mol B, Pajkrt E. Risk assessment and management to prevent preterm birth. Seminars in Fetal and Neonatal Medicine. 2016 04;21(2):80- 88. https://doi.org/10.1016/j.siny.2016.01.005

  10. Malone FD. What is New in the Management of Acute Preterm Labor?. Obstetrics & Gynecology. 2016 02;127(2):398-399. https://doi.org/10.1097/aog.0000000000001284

  11. Vogel JP, Nardin JM, Dowswell T, West HM, Oladapo OT. Combination of tocolytic agents for inhibiting preterm labour. . Cochrane Database of Systematic Reviews. 2014 07 11;. https://doi.org/10.1002/14651858.cd006169.pub2

  12. Neilson JP, West HM, Dowswell T. Betamimetics for inhibiting preterm labour. . Cochrane Database of Systematic Reviews. 2014 02 05;. https://doi.org/10.1002/14651858.cd004352.pub3

  13. Flenady V, Wojcieszek AM, Papatsonis DN, Stock OM, Murray L, Jardine LA, Carbonne B. Calcium channel blockers for inhibiting preterm labour and birth. . Cochrane Database of Systematic Reviews. 2014 06 05;. https://doi.org/10.1002/14651858.cd002255.pub2

  14. Crowther CA, Brown J, McKinlay CJ, Middleton P. Magnesium sulphate for preventing preterm birth in threatened preterm labour. . Cochrane Database of Systematic Reviews. 2014 08 15;. https://doi.org/10.1002/14651858.cd001060.pub2

  15. Flenady V, Reinebrant HE, Liley HG, Tambimuttu EG, Papatsonis DN. Oxytocin receptor antagonists for inhibiting preterm labour. . Cochrane Database of Systematic Reviews. 2014 06 06;. https://doi.org/10.1002/14651858.cd004452.pub3

  16. Duckitt K, Thornton S, O'Donovan OP, Dowswell T. Nitric oxide donors for treating preterm labour. . Cochrane Database of Systematic Reviews. 2014 05 08;. https://doi.org/10.1002/14651858.cd002860.pub2




2020     |     www.medigraphic.com