Moore Mary Lou
Obstetrics and Gynecology, Wake Forest University, School of Medicine, Winston-Salem, NC 27157-1066, USA.
J Obstet Gynecol Neonatal Nurs. 2003 Sep-Oct;32(5):638-49. doi: 10.1177/0884217503257367.
Preterm births in the United States reached a 20-year high of 11.9% in 2001. Preterm and low-birth-weight births are the end result of multiple pathways. This article examines two decades of multidisciplinary research related to preterm birth from both individual and ecologic perspectives. The difficulties in identifying women who will have preterm birth, risk factors amenable to change in the preconception and prenatal periods, and strategies for intervention are described, along with maternal treatment to improve infant outcomes. Future directions for nursing practice and research are suggested.
2001年，美国的早产率达到了20年来的最高水平，为11.9%。早产和低体重儿的出生是多种途径的最终结果。本文从个体和生态学角度审视了与早产相关的二十年多学科研究。描述了识别早产孕妇的困难、孕前和孕期可改变的风险因素、干预策略，以及改善婴儿结局的孕产妇治疗方法。还提出了护理实践和研究的未来方向。
