title: [Management of preterm labor].
abstract: OBJECTIVE
  To define the management of preterm labor (MAP).
  
  
  METHODS
  The literature search was conducted using computer databases Medline and the Cochrane Library for a period from 1969 to March 2016.
  
  
  RESULTS
  Leukocytosis screening may be useful in case of hospitalization for Preterm labor (PTL). Its use is not routine (professional consensus). Screening for urinary tract infection by urine culture should be systematic and antibiotic treatment should be performed in cases of bacterial colonization or urinary tract infection for a period of 7 days (grade A). The vaginal swab is useful to detect a strep B and was prescribed antibiotics during labor if positive (grade A). Routine antibiotic therapy is not recommended in case of PTL (grade A). Prolonged hospitalization does not reduce the risk of preterm delivery (NP3) and is not recommended (grade B). Bed rest does not reduce the risk of PTL (NP3), increases the risk of thromboembolism (NP3), and is not recommended (grade C). After hospitalization for PTL, a regular visit by a caregiver at home may be helpful when patients belong to a precarious environment or are psychologically vulnerable (Professional consensus). The benefit of monitoring home uterine activity repeated in the aftermath of hospitalization for PTL is not shown (NP3). It is not recommended to follow-up uterine activity systematically after hospitalization for PTL (grade C).
  
  
  CONCLUSIONS
  The management of PTL should be individualized, include searching and treatment of infection and avoid prolonged hospitalization or bed rest.
authors: Department of obstetrics and gynecology, Trousseau hospital, université Pierre-et-Marie-Curie, AP-HP, 75012 Paris, France. Electronic address: gkayem@gmail.com.
authors: G
authors: G
authors: Kayem
authors: Inserm UMR 1153, obstetrical, perinatal and pediatric epidemiology research team (Epopé), center for epidemiology and statistics Sorbonne Paris Cité, DHU Risks in pregnancy, Paris Descartes university, 75014 Paris, France.
authors: E
authors: E
authors: Lorthe
authors: Service de gynécologie obstétrique, hospices civils de Lyon, hôpital Femme-Mère-Enfant, 69000 Lyon, France.
authors: M
authors: M
authors: Doret
mesh_terms: D005260:Female; D006801:Humans; D007752:Obstetric Labor, Premature / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy / Q000628:therapy*; D011247:Pregnancy
keywords: Antibiothérapie; Antibiotics; Bed rest; CRP; Leucocytes; Leukocytes; Menace d’accouchement prématuré; Preterm labor; Repos au lit; Rest