Morrison J C
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson.
Obstet Gynecol. 1990 Jul;76(1 Suppl):5S-12S.
The incidence of preterm birth has not declined in spite of obstetric and neonatal advances. Although results are variable, the majority of preterm birth prevention programs that embody risk assessment, patient education, and frequent provider visits have shown promise in reducing early births compared with those patients receiving standard care. More recently, home uterine activity monitoring has been shown to be accurate in demonstrating contraction frequency. The combination of this assessment method to detect increased uterine activity at the earliest possible time and intensive perinatal nursing support as to symptomatology related to preterm labor has led to an earlier detection of preterm labor. This, when combined with a comprehensive program of preterm birth prevention, has in many studies resulted in a decrease in the number of early deliveries. To achieve reduction in preterm births, however, these programs must be integrated with aggressive physician management of tocolytic therapy of such patients and continued intensive involvement in such gestations.
尽管产科和新生儿医学取得了进展，但早产的发生率并未下降。虽然结果各不相同，但与接受标准护理的患者相比，大多数包含风险评估、患者教育和频繁医护人员访视的早产预防项目在减少早产方面已显示出成效。最近，家庭子宫活动监测已被证明在显示宫缩频率方面是准确的。这种在尽可能早的时间检测子宫活动增加的评估方法，与针对早产相关症状的强化围产期护理支持相结合，使得早产能够被更早地检测出来。在许多研究中，这与全面的早产预防计划相结合，已导致早产分娩数量的减少。然而，为了实现早产率的降低，这些项目必须与医生对这类患者积极进行的宫缩抑制治疗管理以及持续深入参与此类妊娠相结合。
