作者: John P. Newnham , Jan E. Dickinson , Roger J. Hart , Craig E. Pennell , Catherine A. Arrese
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摘要: After several decades of research we now have evidence that at least six interventions are suitable for immediate use in contemporary clinical practice within high-resource settings and can be expected to safely reduce the rate preterm birth. These involve strategies prevent non-medically indicated late birth; maternal progesterone supplementation; surgical closure cervix with cerclage; prevention exposure pregnant women cigarette smoke; judicious fertility treatments; dedicated birth clinics. Quantification extent success is difficult predict will dependent on other clinical, cultural, societal economic factors operating each environment. Further anticipated coming years as discoveries translated into practice, including new approaches treating intra-uterine infection, improvements nutrition lifestyle modifications ameliorate stress. The widespread human papillomavirus (HPV) vaccination girls young decrease need further risk early Together, this array interventions, based a substantial body evidence, likely rates death disability large numbers children. process begins an acceptance not inevitable natural feature reproduction. Preventative available applied. best outcomes may come from developing integrated designed specifically health care