Preterm labour: Association between labour physiology, tocolysis and prevention

Sebastián E. Illanes, Alejandra Pérez-Sepúlveda, Gregory E. Rice, Murray D. Mitchell

Research output: Contribution to journalScientific reviewpeer-review

9 Scopus citations

Abstract

Introduction: In developed countries, preterm birth is the major cause of perinatal morbidity, mortality and the most important public health problem in the obstetric field. In the past decades, an increasing trend has been observed regardless of the great efforts focussed on the improvement of our understanding of the physiopathological mechanisms behind preterm labour (PTL) and the improvement in the use of tocolytic drugs. Areas covered: In this review, the authors focus on some points of the physiopathology of labour in order to understand the rationality behind the different management approaches developed for the PTL syndrome. Expert opinion: There is a need to develop new tools for the treatment of patients with PTL. Research focussed on improving tocolysis, the physiology of labour and pathological processes involved in PTL would afford new approaches for the treatment of PTL, allowing clinicians to provide integrative solutions for this multifactorial disease. Recently, the prophylactic use of progesterone pessary and cerclage in women with high risk of premature labour has been reported to reduce the incidence of premature births and improve neonatal outcomes. These results highlight the importance of prediction models in order to establish preventative strategies early in pregnancy.
Original languageAmerican English
Pages (from-to)759-771
Number of pages13
JournalExpert Opinion on Investigational Drugs
Volume23
Issue number6
DOIs
StatePublished - 1 Jan 2014

Keywords

  • Calcium regulation
  • Labour physiology
  • Preterm labour
  • Preterm labour prevention
  • Tocolysis

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