Infections and Preterm Labor

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Preterm labor is a leading cause of neonatal mortality and, a significant negative impact is reported in children of less than 5 years. This problem is found both in developed and developing countries, more so in developing countries. The effect of preterm delivery may last as lifelong disability and low quality of life. The key to reduce the adverse outcomes is evaluating risk factors and interventions in all three antenatal trimesters. Any infection during pregnancy, either systemic or local, has the potential to develop preterm labor. Almost 30-40% of preterm delivery is following infection. The majority of times, it is through ascending cervicovaginal infection leading to intra-amniotic infection. Signals arising from microorganisms essentially activate the labor pathway prematurely by inflammatory cytokines, chemokines, proteases, and prostaglandin release. The primary prevention is by appropriate education to maintain good hygiene and nutrition. Risk reduction strategy includes a screening of pregnancy for infection and appropriate antibiotic treatment. In a woman with inevitable preterm delivery, the most beneficial maternal intervention is steroids with/without short-term tocolysis and neuroprotective agents. This treatment improves survival chances and health outcomes in preterm babies.

Original languageEnglish
Title of host publicationInfections and Pregnancy
PublisherSpringer Nature
Pages573-584
Number of pages12
ISBN (Electronic)9789811678653
ISBN (Print)9789811678646
DOIs
Publication statusPublished - 01-01-2022

All Science Journal Classification (ASJC) codes

  • General Medicine

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