FIGO good practice recommendations for reducing preterm birth and improving child outcomes

Jacobsson, Bo; Simpson, Joe Leigh

doi:10.1002/ijgo.13863

Cited by 6 publications

(3 citation statements)

References 19 publications

(47 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tailored antenatal care should be offered to women expecting twins, including considering twin pregnancy a sufficient risk factor to offer prophylactic ASA. In addition, this study corroborates that single‐embryo transfer is the appropriate strategy in artificial reproductive therapy, in line with the latest recommendations from the International Federation of Gynaecology and Obstetrics 24 …”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Different pathways for preterm birth between singleton and twin pregnancies: a population‐based registry study of 481 176 nulliparous women

Tingleff

Räisänen

Vikanes

et al. 2022

BJOG

View full text Add to dashboard Cite

To explore the contribution of pregnancy-related complications on the prevalence of extremely, very and late preterm births in singleton and twin pregnancies. To study the risk of spontaneous preterm birth in twin pregnancies compared with singleton pregnancies. Design: Population-based registry study. Setting: Medical birth registry of Norway and Statistics Norway. Population: Nulliparous women with singleton (n = 472 449) or twin (n = 8727) births during 1999-2018. Methods: Prevalence rates of pregnancy-related complications for extremely, very and late preterm birth in twin and singleton pregnancies were calculated with 95% confidence intervals. Multivariable logistic regression was applied to assess odds ratios for preterm birth, adjusted for obstetric and socio-economic factors. Main outcome measures: Extremely preterm (<28 +0 weeks of gestation), very preterm (28 +0 -33 +6 weeks of gestation) and late preterm (34 +0 -36 +6 weeks of geatation) birth. Results: Preterm birth was significantly more prevalent in twin pregnancies than in singleton pregnancies in all categories: all preterm (54.7% vs 6.1%), extremely preterm (3.6% vs 0.4%), very preterm (18.2% vs 1.4%) and late preterm (33.0% vs 4.3%) births. Stillbirth, congenital malformation and pre-eclampsia were more prevalent in twin pregnancies than in singleton pregnancies, but the prevalence of complications differed in the three categories of preterm birth. Pre-eclampsia was more prevalent in singleton than in twin pregnancies ending in extremely and very preterm birth. The adjusted odds of spontaneous preterm live birth were between 19-and 54-fold greater in twin pregnancies than in singleton pregnancies. Conclusions: Singleton and twin pregnancies seem to have different pathways leading to extremely, very and late preterm birth.

show abstract

Section: Discussionsupporting

confidence: 87%

“…In addition, this study corroborates that single‐embryo transfer is the appropriate strategy in artificial reproductive therapy, in line with the latest recommendations from the International Federation of Gynaecology and Obstetrics. 24 …”

Section: Discussionmentioning

confidence: 99%

Different pathways for preterm birth between singleton and twin pregnancies: a population‐based registry study of 481 176 nulliparous women

Tingleff

Räisänen

Vikanes

et al. 2022

BJOG

View full text Add to dashboard Cite

show abstract

“…Maternal antenatal corticosteroids (ACS) at less than 34 weeks of gestation are recommended to reduce preterm mortality and morbidity 5 – 7 and not indicated from 34 to less than 37 weeks 8 . ACS reduce neonatal respiratory distress syndrome by enhancing the production of surfactant binding proteins, foetal lung antioxidant enzymes and morphological development of type I and II pneumocytes, through which premature foetal lung function is improved 9 .…”

Section: Introductionmentioning

confidence: 99%

Antenatal corticosteroids reduce neonatal mortality in settings without assisted ventilatory support: a retrospective cohort study of early preterm births on the Thailand-Myanmar border

Bashir,

Lufting-Leeffrers,

Myat Min

et al. 2024

Wellcome Open Res

View full text Add to dashboard Cite

Background Prematurity is the highest risk for under-five mortality globally. The aim of the study was to assess the effect of antenatal dexamethasone on neonatal mortality in early preterm in a resource-constrained setting without assisted ventilation. Methods This retrospective (2008-2013) cohort study in clinics for refugees/migrants on the Thai-Myanmar border included infants born <34 weeks gestation at home, in, or on the way to the clinic. Dexamethasone, 24 mg (three 8 mg intramuscular doses, every 8 hours), was prescribed to women at risk of preterm birth (28 to <34 weeks). Appropriate newborn care was available: including oxygen but not assisted ventilation. Mortality and maternal fever were compared by the number of doses (complete: three, incomplete (one or two), or no dose). A sub-cohort participated in neurodevelopmental testing at one year. Results Of 15,285 singleton births, 240 were included: 96 did not receive dexamethasone and 144 received one, two or three doses (56, 13 and 75, respectively). Of live-born infants followed to day 28, (n=168), early neonatal and neonatal mortality/1,000 livebirths (95%CI) with complete dosing was 217 (121–358) and 304 (190–449); compared to 394 (289–511) and 521 (407–633) with no dose. Compared to complete dosing, both incomplete and no dexamethasone were associated with elevated adjusted ORs 4.09 (1.39 to 12.00) and 3.13 (1.14 to 8.63), for early neonatal death. By contrast, for neonatal death, while there was clear evidence that no dosing was associated with higher mortality, adjusted OR 3.82 (1.42 to 10.27), the benefit of incomplete dosing was uncertain adjusted OR 1.75 (0.63 to 4.81). No adverse impact of dexamethasone on infant neurodevelopmental scores (12 months) or maternal fever was observed. Conclusions Neonatal mortality reduction is possible with complete dexamethasone dosing in pregnancies at risk of preterm birth in settings without capacity to provide assisted ventilation.

show abstract

IJGO in 2021: A year of growth and development

Goggins

Geary

Stringer

2021

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

FIGO good practice recommendations for reducing preterm birth and improving child outcomes

Cited by 6 publications

References 19 publications

Different pathways for preterm birth between singleton and twin pregnancies: a population‐based registry study of 481 176 nulliparous women

Different pathways for preterm birth between singleton and twin pregnancies: a population‐based registry study of 481 176 nulliparous women

Antenatal corticosteroids reduce neonatal mortality in settings without assisted ventilatory support: a retrospective cohort study of early preterm births on the Thailand-Myanmar border

IJGO in 2021: A year of growth and development

Contact Info

Product

Resources

About