Howie P W, Patel N B
Clin Obstet Gynaecol. 1984 Aug;11(2):373-90.
In recent years the trends in the obstetric management of preterm labour have moved in the direction of more active policies with greater use of fetal heart monitoring and Caesarean section to avoid traumatic and asphyxial damage to the baby. Conservative management still has an important place, especially in association with extreme prematurity. Following initial enthusiasm, the use of tocolytic drugs and antenatal corticosteroids are going through a phase of re-evaluation and careful assessment is essential in individual cases to avoid their inappropriate use. Future developments in the obstetric management of preterm labour will depend upon careful evaluation studies which examine not only the short-term mortality statistics but also the long-term effects in respect of neurological and developmental handicap. This task is one of the major challenges for obstetricians to tackle over the next two decades.
近年来，早产产科管理的趋势朝着更积极的政策发展，更多地使用胎儿心率监测和剖宫产，以避免对婴儿造成创伤和窒息性损伤。保守管理仍占有重要地位，尤其是在极早产的情况下。在经历了最初的热情之后，宫缩抑制剂和产前皮质类固醇的使用正处于重新评估阶段，对个别病例进行仔细评估至关重要，以避免不恰当的使用。早产产科管理的未来发展将取决于仔细的评估研究，这些研究不仅要检查短期死亡率统计数据，还要考察神经和发育障碍方面的长期影响。这项任务是产科医生在未来二十年要应对的主要挑战之一。
