PMID: 9438945Jan 1, 1997Paper

Prevention of prematurity. A review of our activities during the last 25 years

Journal of Perinatal Medicine
E Saling

Abstract

For 25 years we have been engaged in programs for prevention of prematurity. In the initial stages we tried to use lists which might indicate increased risk of prematurity to select groups with higher disposition in this direction, and to initiate more intensive care with these patients. The earlier results have been positive, but such programs required such high expenditure (of time, energy, and cost) that they could not permanently be maintained. Another supporting contribution for prematurity prevention was the introduction of vaginal disinfectant measures in cases of PROM. Historically, one of the most urgent tasks of obstetrics has been and is the reduction in the unwanted birth rate of very small prematures infants. Long-lasting impairments of these infants still occur too frequently. Ascending genital infections, particularly before 32 gestational weeks, are the most important cause of prematurity. This has been confirmed by the excellent results achieved after creating a complete barrier by an operative total cervical occlusion in cases with recurrent late abortions. It is difficult to realize programs for prematurity prevention based on socio-economic factors, because of the expense with the necessary increase in time ...Continue Reading

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