Bayer H, Issel E P, Hengst P, Prenzlau P, Halle H
Zentralbl Gynakol. 1976;98(17):1035-42.
The therapy of imminent prematurity needs specific treatment of the respective illness. Moreover there are three fundamental measures: 1. To appease the patients and to applicate sedatives. 2. To carry out tokolysis with medicamentes. 3. To carry out cerclage operation in order to close the uterine mouth. These possibilities must be combined in various ways dependent from the success in every individual case. These measures also are suit in prophylaxis, for example in disorders of former pregnancies. All schemes of therapy adapted to the individual case. The dosis must be determined from the effect of therapy. A particular view point must be the hospitalisation between 28. and 32. week of pregnancy in cases of twins or placenta previa. Also in cases of early rupture of amnion prolongation of pregnancy must be aspired.
早产先兆的治疗需要针对各自的病症进行特定治疗。此外,有三项基本措施:1. 安抚患者并使用镇静剂。2. 用药物进行宫缩抑制。3. 进行宫颈环扎术以闭合子宫口。这些方法必须根据每个病例的成功情况以各种方式结合使用。这些措施也适用于预防,例如既往妊娠的疾病。所有治疗方案都应根据个体情况进行调整。剂量必须根据治疗效果来确定。一个特别的观点是,在双胞胎或前置胎盘的情况下,妊娠28至32周时应住院治疗。在胎膜早破的情况下,也应争取延长孕周。