title: Therapies administered to mothers at risk for preterm birth and neurodevelopmental outcome in their infants.
abstract: A decrease in the rate of preterm births and the prevention of prematurity-associated neurodevelopmental morbidity are critical for the reduction of neurodevelopmental disability. Efforts to reduce the overall preterm delivery rate have been unsuccessful. Although progress has been achieved in the prevention of short-term neonatal morbidity over the past several decades, the majority of the improvements have resulted from improved neonatal care. Whether obstetric interventions can improve neurodevelopmental outcome is unknown. The ability to adequately assess obstetric interventions is hampered by the limited number of interventional studies that included long-term outcome assessment. Thus, it is incumbent upon ongoing and future interventional studies to consider long-term outcome assessment as a critical component of the overall evaluation of efficacy of obstetric therapies.
authors.affiliation: Center for Research in Women's Health, University of Alabama at Birmingham, Department of Obstetrics and Gynecology 458 Old Hillman Building, 619 19th Street South, Birmingham, AL 35249-7333, USA. ramsey_patrick@hotmail.com
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Ramsey
authors.forename: Dwight J
authors.initials: DJ
authors.lastname: Rouse
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002658:Developmental Disabilities / Q000209:etiology* / Q000517:prevention & control*; D018691:Excitatory Amino Acid Antagonists / Q000627:therapeutic use; D005260:Female; D005317:Fetal Growth Retardation / Q000150:complications / Q000628:therapy; D005323:Fetal Monitoring; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods* / Q000639:trends; D007752:Obstetric Labor, Premature / Q000150:complications* / Q000453:epidemiology / Q000628:therapy*; D010634:Phenobarbital / Q000627:therapeutic use; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000379:methods* / Q000592:standards / Q000639:trends; D015995:Prevalence; D011379:Prognosis; D012307:Risk Factors; D013256:Steroids; D015145:Tocolysis; D016896:Treatment Outcome; D014812:Vitamin K / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D018691:Excitatory Amino Acid Antagonists; D013256:Steroids; D014812:Vitamin K; D010634:Phenobarbital