Engle William A, Kominiarek Michelle A
Section of Neonatal-Perinatal Pediatrics, Indiana University School of Medicine, 699 West Drive, RR-208, Indianapolis, IN 46202-5119, USA.
Clin Perinatol. 2008 Jun;35(2):325-41, vi. doi: 10.1016/j.clp.2008.03.003.
Delivery of infants who are physiologically mature and capable of successful transition to the extrauterine environment is an important priority for obstetric practitioner. A corollary of this goal is to avoid iatrogenic complications of prematurity and maternal complications from delivery. The purpose of this review is to describe the consequences of birth before physiologic maturity in late preterm and term infants, to identify factors contributing to the decline in gestational age of deliveries in the United States, and to describe strategies to reduce premature delivery of late preterm and early term infants.
对于产科医生而言,分娩出生时生理成熟且能够成功过渡到宫外环境的婴儿是一项重要的首要任务。这一目标的必然结果是避免早产的医源性并发症以及分娩时的母体并发症。本综述的目的是描述晚期早产儿和足月儿在生理成熟前出生的后果,确定导致美国分娩孕周下降的因素,并描述减少晚期早产儿和早期足月儿早产的策略。