The influence of obstetric practices on late prematurity.
In this article, the authors review the standard management of several maternal and fetal complications of pregnancy and examine the effect these practices may have on the late preterm birth rate. Given the increasing rate of late preterm birth and the increased recognition of the morbidity and mortality associated with delivery between 34 and 37 weeks, standard obstetric practices and practice patterns leading to late preterm birth should be critically evaluated. The possibility of expectant management of some pregnancy complications in the late preterm period should be investigated. Furthermore, prospective research is warranted to investigate the role of antenatal corticosteroids beyond 34 weeks.
Fuchs
Karin
K
Division of Maternal and Fetal Medicine, Columbia University Medical Center, 622 West 168th Street, New York, NY 10032, USA. kmf2121@columbia.edu
Gyamfi
Cynthia
C
D036861:Delivery, Obstetric; D005260:Female; D005317:Fetal Growth Retardation / Q000628:therapy; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000517:prevention & control; D007752:Obstetric Labor, Premature / Q000188:drug therapy; D009774:Obstetrics / Q000379:methods* / Q000639:trends; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D011272:Pregnancy, Multiple; D047928:Premature Birth