Preterm Labor and Birth: A Clinical Review.

  title={Preterm Labor and Birth: A Clinical Review.},
  author={Kellie M. Griggs and Debra A. Hrelic and Nina D. Williams and Michelle McEwen-Campbell and Rebecca L. Cypher},
  journal={MCN: The American Journal of Maternal/Child Nursing},
When caring for women experiencing preterm labor and birth, nurses play a significant role as bedside experts, advocates, patient educators, and key members of the maternity care team. Enhanced expertise on clinical and professional knowledge of preterm labor and birth is crucial in prevention and treatment. As preterm birth rates continue to rise, perinatal nurses as well-informed clinical experts have the opportunity to offer innovative education, holistic assessments, and communication… Expand
1 Citations
Nurse Practitioners as Antibiotic Stewards: Examining Prescribing Patterns and Perceptions.
Outpatient NPs focus on educating the patient while balancing organizational access challenges, and factors associated with the decline in nurse practitioner antibiotic prescribing observed in this study are understood. Expand


The Perinatal-Neonatal Care Journey for Parents of Preterm Infants: What Is Working and What Can Be Improved
Primary thematic analysis used focus group data from parent consultation on proposed neonatal services standards for Northern Ireland to discover parents' experiences and recommendations for the perinatal, neonatal, and home care phases. Expand
The State of the Science of Preterm Birth: Assessing Contemporary Screening and Preventive Strategies.
This article is intended to highlight preterm birth risk factors and current predictive and preventive strategies for midwives, nurse practitioners, clinical nurse specialists, and perinatal nurses. Expand
Preterm labour decision-making and experiences of care for women and clinicians (QUIDS Qualitative): A qualitative exploration.
Decision-making is complex and a tool to more accurately predict preterm birth than is currently available was valued and further research is warranted to evaluate a tool in clinical practice and to improve services for women with symptoms of preterm labour attempting to gain access to face-face care. Expand
Using Cervical Length Measurement for Lower Spontaneous Preterm Birth Rates Among Women With Threatened Preterm Labor.
Risk stratification in women with preterm contractions would allow targeting of interventions such as corticosteroids, magnesium sulfate, and maternal transfer to a perinatal center to those who will indeed deliver preterm. Expand
The prediction of preterm delivery: What is new?
The clinical utility of the currently marketed predictive tests for preterm birth in both singleton and multiple pregnancies is explored, as well as discussing novel predictive tests that may be useful in the future. Expand
Epidemiology of preterm birth
Over the past 20-30 years advances in perinatal care have improved outcomes for infants born after short gestations, but there is still uncertainty and incomplete recording of estimates of gestation in developed countries. Expand
Antenatal corticosteroid therapy for fetal maturation.
  • J. Crane, A. Armson, +6 authors J. Van Aerde
  • Medicine
  • Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2003
The evidence obtained was reviewed and evaluated by the Maternal-Fetal Medicine Committee of the Society of Obstetricians and Gynaecologists of Canada and recommendations were made according to guidelines developed by the Canadian Task Force on the Periodic Health Exam. Expand
Pharmacology for Preterm Labor.
Preterm birth occurs with 10% of deliveries and yet accounts for more than 85% of perinatal morbidity and mortality. Management of preterm labor prior to delivery includes a multiprongedExpand
Introducing a preterm surveillance clinic to manage high-risk women
The practicalities of establishing a dedicated preterm surveillance clinic are discussed; specifically how to identify high-risk women, what surveillance can be offered, how to standardise the transvaginal ultrasound cervical assessment, and suggested management pathways. Expand
Preterm labor: One syndrome, many causes
The current understanding of the mechanisms of disease implicated in preterm labor are summarized and advances relevant to intra-amniotic infection, decidual senescence, and breakdown of maternal-fetal tolerance are reviewed. Expand