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The changing approach to preterm labor.(infant mortality)
Preterm delivery accounts for a significant component of infant mortality in the world. In this, the United States has not been spared; in fact, our country ranks a dismal 21st internationally in infant mortality, with prematurity as a major contributor.
Historically, obstetrics has approached this problem from a therapeutic perspective: If you see a contraction, try to stop it. In large measure, we have been unsuccessful, staving off delivery by a mean of approximately 2 days despite our best efforts. Although this window can allow for the stabilization of patients, arranging for their transfer to appropriate delivery sites, and initiating required medications, it does not solve the problem of prematurity.
By focusing on the symptoms of premature labor, we have not paused sufficiently to ask basic questions about potential causes and triggers that could help us to develop preventive strategies and targeted treatments for what is clearly a multifactorial syndrome.
This is all changing. The National Institutes of Health saw this as such a priority that it formed a Perinatology Research Branch within the ...
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Source: HighBeam Research, The changing approach to preterm labor.(infant mortality)