[Cervix and tocography screening in basic pregnancy monitoring].
Report about a myometrial contractility-screening in 2462 asymptomatic pregnancies at 30 weeks of gestation. A cervical examination was performed in the 26th and 33th weeks of gestation. An increased uterine contraction frequency was obtained in 3% and a cervical opening in 5.6%. Uterine contractions with cervical opening are a high-risk factor of prematurity (52%-70%) whereas uterine contractions alone are of low-risk. The prevention of preterm birth is useful. We found a significant decrease of early neonatal mortality in 487 singleton preterm deliveries after treatment. A classification of unexplained preterm delivery, iatrogenic or elective preterm delivery and complicated preterm labor is recommended for controlled outpatient and clinical trials.
Meier
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Frauenklinik Bezirkskrankenhauses, Stralsund.
Reimann
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R
D005260:Female; D005323:Fetal Monitoring; D005859:Germany, East; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000401:mortality; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D011247:Pregnancy; D012307:Risk Factors; D014590:Uterine Contraction
Zervix- und Tokografie-screening in der Schwangerengrundbetreuung.