Indicated Late-Preterm and Early-Term Deliveries

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Preterm birth is associated with significant short-term and long-term morbidity with implications beyond the neonatal period. However, in certain situations, indicated preterm birth or early term birth results in the best outcome for mother, baby or both. The pathophysiology underlying conditions that are indications for an indicated birth before 39 weeks can be loosely grouped into four areas: placenta/ uterus, fetal, maternal, and obstetric conditions. Placental conditions include those that increase the risk of bleeding such as placenta previa, accreta, increta, percreta and those that increase the risk of uterine rupture such as a prior classical cesarean delivery and myomectomy involving the myometrium. Women with diabetes should be counseled on the importance of glycemic control prior to conception. The timing of these deliveries should be individualized to optimize the outcome based on evidence and expert opinion, as well as the specific clinical situation.

Original languageEnglish (US)
Title of host publicationProtocols for High-Risk Pregnancies
Subtitle of host publicationAn Evidence-Based Approach: Sixth Edition
PublisherWiley-Blackwell
Pages383-387
Number of pages5
ISBN (Electronic)9781119001256
ISBN (Print)9781119000877
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

Keywords

  • Long-term morbidity
  • Myomectomy
  • Neonatal period
  • Pathophysiology
  • Preterm birth
  • Prior classical cesarean delivery
  • Short-term morbidity

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Spong, C. Y. (2015). Indicated Late-Preterm and Early-Term Deliveries. In Protocols for High-Risk Pregnancies: An Evidence-Based Approach: Sixth Edition (pp. 383-387). Wiley-Blackwell. https://doi.org/10.1002/9781119001256.ch44