Timing of indicated late-preterm and early-term birth

Catherine Y. Spong, Brian M. Mercer, Mary D'Alton, Sarah Kilpatrick, Sean Blackwell, George Saade

Research output: Contribution to journalArticle

306 Citations (Scopus)

Abstract

The growing public health awareness of prematurity and its complications has prompted careful evaluation of the timing of deliveries by clinicians and hospitals. Preterm birth is associated with significant morbidity and mortality, and affects more than half a million births in the United States each year. In some situations, however, a late-preterm or early-term birth is the optimal outcome for the mother, child, or both owing to conditions that can result in worse outcomes if pregnancy is allowed to continue. These conditions may be categorized as placental, maternal, or fetal, including conditions such as placenta previa, preeclampsia, and multiple gestations. Some risks associated with early delivery are common to all conditions, including prematurity-related morbidities (eg, respiratory distress syndrome and intraventricular hemorrhage) as well as maternal intrapartum morbidities such as failed induction and cesarean delivery. However, when continuation of the pregnancy is associated with more risks such as hemorrhage, uterine rupture, and stillbirth, preterm delivery maybe indicated. In February 2011, the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Society for Maternal-Fetal Medicine held a workshop titled "Timing of Indicated Late Preterm and Early Term Births." The goal of the workshop was to synthesize the available information regarding conditions that may result in medically indicated late-preterm and early-term births to determine the potential risks and benefits of delivery compared with continued pregnancy, determine the optimal gestational age for delivery of affected pregnancies when possible, and inform future research regarding these issues. Based on available data and expert opinion, optimal timing for delivery for specific conditions was determined by consensus.

Original languageEnglish (US)
Pages (from-to)323-333
Number of pages11
JournalObstetrics and Gynecology
Volume118
Issue number2 PART 1
DOIs
StatePublished - Aug 2011
Externally publishedYes

Fingerprint

Term Birth
Pregnancy
Mothers
Morbidity
National Institute of Child Health and Human Development (U.S.)
Hemorrhage
Uterine Rupture
Placenta Previa
Education
Stillbirth
Premature Birth
Expert Testimony
Pregnancy Outcome
Pre-Eclampsia
Gestational Age
Consensus
Public Health
Parturition
Mortality

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Spong, C. Y., Mercer, B. M., D'Alton, M., Kilpatrick, S., Blackwell, S., & Saade, G. (2011). Timing of indicated late-preterm and early-term birth. Obstetrics and Gynecology, 118(2 PART 1), 323-333. https://doi.org/10.1097/AOG.0b013e3182255999

Timing of indicated late-preterm and early-term birth. / Spong, Catherine Y.; Mercer, Brian M.; D'Alton, Mary; Kilpatrick, Sarah; Blackwell, Sean; Saade, George.

In: Obstetrics and Gynecology, Vol. 118, No. 2 PART 1, 08.2011, p. 323-333.

Research output: Contribution to journalArticle

Spong, CY, Mercer, BM, D'Alton, M, Kilpatrick, S, Blackwell, S & Saade, G 2011, 'Timing of indicated late-preterm and early-term birth', Obstetrics and Gynecology, vol. 118, no. 2 PART 1, pp. 323-333. https://doi.org/10.1097/AOG.0b013e3182255999
Spong CY, Mercer BM, D'Alton M, Kilpatrick S, Blackwell S, Saade G. Timing of indicated late-preterm and early-term birth. Obstetrics and Gynecology. 2011 Aug;118(2 PART 1):323-333. https://doi.org/10.1097/AOG.0b013e3182255999
Spong, Catherine Y. ; Mercer, Brian M. ; D'Alton, Mary ; Kilpatrick, Sarah ; Blackwell, Sean ; Saade, George. / Timing of indicated late-preterm and early-term birth. In: Obstetrics and Gynecology. 2011 ; Vol. 118, No. 2 PART 1. pp. 323-333.
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