Infectious Diseases in Obstetrics and Gynecology

Infectious Diseases in Obstetrics and Gynecology / 1997 / Article

Open Access

Volume 5 |Article ID 915019 | https://doi.org/10.1155/S1064744997000173

James A. McGregor, Janice I. French, "Pathogenesis to Treatment: Preventing Preterm Birth Mediated by Infection", Infectious Diseases in Obstetrics and Gynecology, vol. 5, Article ID 915019, 9 pages, 1997. https://doi.org/10.1155/S1064744997000173

Pathogenesis to Treatment: Preventing Preterm Birth Mediated by Infection

Received01 Oct 1997
Accepted21 Oct 1997

Abstract

Prevention of preterm birth and subsequent newborn immaturity is a primary goal of obstetrical care worldwide. Accumulated evidence shows that 1) as many as 25–50% of preterm births are caused by common genital tract infections and subsequent maternal/fetal inflammatory responses; 2) microbial and maternal host factors (phospholipases, proteases, etc.) play roles in preterm labor and preterm premature rupture of membranes (pPROM); 3) integrated aspects of maternal and fetal host responses (inflammation, altered immune adaptations, endocrine and paracrine mechanisms) play increasingly understood roles in premature activation of parturition; and 4) identification and systemic treatment of common genitourinary infections, most importantly bacterial vaginosis (BV), reduce the risks of preterm delivery and PROM.

Copyright © 1997 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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