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  • Zelo prezgodnji porod : preprečevanje = Very preterm delivery : prevention
    Novak-Antolič, Živa ...
    Background: Long term consequences for very preterm newborn may be serious andfor this reason very preterm delivery (VPTD) has been recognised as one of the main problems of public health. Laypersons ... and even professionals are not aware of the fact that there are possibilities for VPTD prevention and becauseof that long term handicap can also be prevented. There are many causesof preterm delivery and it is not likely that only one kind of management or one drug could prevent preterm delivery. Most women who deliver very preterm have no known risk factors. Possibilities for prevention: Screening tests should be used in all pregnant women. In the group of women with high risk, certain risk factors cannot be changed: previous preterm delivery and conisation, for example. Some risk factors can be eliminated before pregnancy, such as surgical correction of uterine anomalies. Examples of secondary prevention include administration of progesterone in those pregnant women who had previous preterm deliveries or those after artificial reproductive techniques, cerclage when the cervix is short, treatment of vaginal infection early in pregnancy, need for psychological and social support. Even when preterm delivery is unavoidable, pregnancy can be prolongedwith efficient tocolysis, so corticosteroids can be applied (tertiaryprevention), and the pregnant woman should be transported to a centrewith a neonatal intensive care unit, which will significantly improve the outcome for the newborn. Conclusions: Some risk factors can be eliminated or diminished, thus prolonging pregnancy when this is not harmful for the mother or the fetus. This also reduces long term consequences of preterm delivery. Existing knowledge regarding preterm delivery prevention must be applied. In the future, prevention of preterm delivery will be individual and specific.
    Vir: Medicinski razgledi : [medicinski pregledni, strokovni in raziskovalni članki]. - ISSN 0025-8121 (Letn. 47, št. 4, dec. 2008, str. 355-365)
    Vrsta gradiva - članek, sestavni del
    Leto - 2008
    Jezik - slovenski
    COBISS.SI-ID - 25578713

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    Digitalna knjižnica Slovenije - dLib.si

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