Creasy R K, Merkatz I R
Department of Obstetrics and Gynecology, University of Texas Medical School, Houston.
Obstet Gynecol. 1990 Jul;76(1 Suppl):2S-4S.
Spontaneous preterm delivery continues to be the most significant problem facing clinicians as we enter the 1990s. Prevention of preterm labor still awaits needed improvements in prediction. At present, most preterm birth prevention programs are based upon the early recognition of preterm labor followed by prompt tocolysis. Programs based upon patient education and support, daily contact by trained nurses, intermittent cervical assessment, and daily sampling of uterine activity have been associated with a decrease in preterm birth. The exact contribution of each component to reduce preterm birth remains to be defined and, at present, a combination of the components is still suggested.
进入20世纪90年代，自然早产仍是临床医生面临的最重大问题。早产的预防仍有待预测方面的必要改进。目前，大多数早产预防项目基于对早产的早期识别，随后迅速进行宫缩抑制。基于患者教育与支持、由经过培训的护士进行日常接触、间歇性宫颈评估以及子宫活动的每日采样的项目与早产率的降低相关。每个组成部分对降低早产的确切贡献仍有待确定，目前仍建议综合使用这些组成部分。
