If the results of the insulin-like growth factor binding protein-1 or placental alpha-microglobulin-1 test are negative and no amniotic fluid is observed: do not offer antenatal prophylactic antibiotics explain to the woman that it is unlikely that she has P-PROM, but that she should return if she has any further symptoms suggestive of P-PROM or preterm labour.
The risk of multiple gestations secondary to these treatments is less well documented, as reporting data are not mandated. Consider talking to your health care provider about pregnancy spacing.
If a preterm baby needs to be moved away from the mother for resuscitation, or there is significant maternal bleeding: consider milking the cord and clamp the cord as soon as possible.
Improve the Quality of Care for Women at Risk for Preterm Laborand Infants Born Preterm Beyond the content of prenatal care, little is known about the quality of care throughout the reproductive spectrum.
Recommendation V Conduct research to understand the impactof the health care delivery system on preterm birth. Dietary constituents have been examined to a limited degree, with mixed evidence on the potential benefits of increased levels of iron Villar et al.
Several of these studies have provided estimates of the hospitalization cost exclusively by low birth weight Rogowski,others have provided estimates exclusively by gestational age Phibbs and Schmitt,whereas still others have provided estimates by both gestational age and low birth weight Gilbert et al.
The EUROPOP study showed that preterm birth is not related to type of employment, but to prolonged work over 42 hours per week or prolonged standing over 6 hours per day.
Although evidence on the long-term effects of early intervention programs is inconclusive, some longitudinal follow-up studies have noted that they have continued beneficial effects McCormick et al.
Certain conditions, such as diabetes and high blood pressure, increase the risk of preterm labor. More accurate methods are needed to diagnose preterm labor, assess fetal health to identify women and fetuses that are and that are not candidates for the arrest of labor, and arrest labor.