Kassenova Marzhan A, Ryskulova Alma-Gul' R, Baimuratova Mairash A, Sokolova Tatyana M, Adyrbekova Assel K, Yesmakhanova Indira S
Kazakhstan Medical University "KSPH", Almaty, Kazakhstan.
Novosibirsk State Medical University, Novosibirsk, Russia.
J Mother Child. 2025 May 24;29(1):30-38. doi: 10.34763/jmotherandchild.20252901.d-24-00048. eCollection 2025 Feb 1.
Preterm birth (PTB) remains a significant challenge in modern obstetric practice, posing considerable risks to maternal and neonatal health. Despite advancements in medical technology, the incidence of PTB remains high, and its prediction continues to be complex. Traditional methods for predicting PTB, including medical history evaluation, cervical length measurement, and biochemical markers, have shown limited precision in preventing this serious complication. However, recent technological advancements-such as machine learning algorithms, biomarker profiling, and genetic analyses-offer new possibilities for improving prediction accuracy. This review critically examines current and emerging approaches for PTB prediction, highlighting their potential to transform early risk detection. It also addresses the ethical and societal implications of these technologies. This narrative review aims to comprehensively analyse contemporary methods for predicting preterm birth, evaluating established and emerging approaches. It will assess the efficacy of current predictive tools, examine the limitations they face, and explore the potential for integrating advanced technologies to improve outcomes. By highlighting recent developments in the field and addressing critical knowledge gaps, this review seeks to contribute to the ongoing effort to enhance PTB prediction, aiming to improve maternal and neonatal health outcomes. The study's novelty lies in its comprehensive analysis of cutting-edge innovations in PTB prediction and its focus on identifying critical gaps in current practices.
早产在现代产科实践中仍然是一项重大挑战,对孕产妇和新生儿健康构成相当大的风险。尽管医疗技术有所进步,但早产的发生率仍然很高,而且其预测仍然很复杂。传统的早产预测方法,包括病史评估、宫颈长度测量和生化标志物,在预防这种严重并发症方面的精度有限。然而,最近的技术进步,如机器学习算法、生物标志物分析和基因分析,为提高预测准确性提供了新的可能性。本综述批判性地审视了当前和新兴的早产预测方法,强调了它们在改变早期风险检测方面的潜力。它还探讨了这些技术的伦理和社会影响。本叙述性综述旨在全面分析当代早产预测方法,评估既定和新兴方法。它将评估当前预测工具的有效性,审视它们面临的局限性,并探索整合先进技术以改善结果的潜力。通过突出该领域的最新进展并解决关键的知识空白,本综述旨在为加强早产预测的持续努力做出贡献,旨在改善孕产妇和新生儿健康结果。该研究的新颖之处在于对早产预测前沿创新的全面分析以及对识别当前实践中关键差距的关注。