Ambulatory management of preterm labor

Monica Rincon, Leonardo M.R. Pereira

Research output: Contribution to journalReview article

Abstract

The majority of patients with preterm labor will deliver at term, and universal treatment of preterm labor with tocolytics and antenatal corticosteroids results in widespread overtreatment while benefitting a minority of patients. Ambulatory strategies for preventing preterm birth and identifying at-risk patients are discussed. These include consideration of obstetric history, serial cervical length sonography, digital examination, and selective use of biomarker tests. Ambulatory therapies to reduce preterm birth include different formulations of progesterone and cerclage. Optimal use of antenatal corticosteroids is discussed, and a review of ambulatory management strategies for patients who are discharged home after tocolysis is conducted.

Original languageEnglish (US)
Pages (from-to)756-764
Number of pages9
JournalClinical Obstetrics and Gynecology
Volume55
Issue number3
DOIs
StatePublished - Sep 1 2012

Keywords

  • antenatal corticosteroids
  • cervical length
  • cervical ultrasound
  • preterm birth
  • preterm labor
  • tocolysis

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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