Threatened preterm labor is a risk factor for impaired cognitive development in early childhood

Paulés, Cristina; Pueyo, Victoria; Martí, Elena; Vilchez, Susana de; Burd, Irina; Calvo, Pilar; Orós, Daniel

doi:10.1016/j.ajog.2016.10.022

Cited by 50 publications

(44 citation statements)

References 41 publications

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“…The findings of this study published in this issue of the Journal by Dr. Cristina Paules and her associates (61) are novel, potentially important, and interesting for the understanding of the most common complication requiring admission of pregnant women to the hospital. The authors are correct in calling for replication and further research, given the potential clinical implications.…”

Section: Are Infants Born At Term After An Episode Of Preterm Labor Amentioning

confidence: 76%

“…The report of Paules et al (61) is important and hence has been highlighted in the pages of the Journal. However, we agree with the authors that no change in the clinical management is required other than being prudent in the way we counsel patients about the long-term prognosis after an episode of suspected preterm labor and delivery at term.…”

Section: Should the Findings Lead To A Change In Clinical Management?mentioning

confidence: 96%

“…In this issue of the Journal, Paules and her colleagues (61) from the University of Zaragoza and Johns Hopkins University report the results of a prospective cohort study in which the investigators examined the outcome of infants at two years of age who had experienced an episode of preterm labor during gestation but were delivered at or near term. The cohort included three groups: 1) women without an episode of preterm labor who delivered at term (≥37 weeks; control group) (n=42); 2) women with an episode of preterm labor who delivered late preterm (32–36 weeks) (n=22); and 3) women who had an episode of preterm labor and delivered at term (n=23).…”

Section: Is a Fetus Exposed To An Episode Of Suspected Preterm Labor mentioning

confidence: 99%

“…The key finding was that infants at the age of two years who had been born at term after an episode of suspected preterm labor scored lower in the global cognitive index, cognition, fine and gross motor skills, memory, receptive language, speed of processing, and visual motor coordination than children who were born at term who had not experienced an episode of preterm labor (after adjustment for gestational age at delivery, birthweight, neonatal gender, cesarean delivery, and maternal education) [see Table 3 from the article by Paules et al (61)].…”

Section: Is a Fetus Exposed To An Episode Of Suspected Preterm Labor mentioning

confidence: 99%

See 3 more Smart Citations

Is an episode of suspected preterm labor that subsequently leads to a term delivery benign?

Romero

Erez

Maymon

et al. 2017

American Journal of Obstetrics and Gynecology

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Section: Are Infants Born At Term After An Episode Of Preterm Labor Amentioning

confidence: 76%

Section: Should the Findings Lead To A Change In Clinical Management?mentioning

confidence: 96%

Section: Is a Fetus Exposed To An Episode Of Suspected Preterm Labor mentioning

confidence: 99%

Section: Is a Fetus Exposed To An Episode Of Suspected Preterm Labor mentioning

confidence: 99%

See 2 more Smart Citations

Is an episode of suspected preterm labor that subsequently leads to a term delivery benign?

Romero

Erez

Maymon

et al. 2017

American Journal of Obstetrics and Gynecology

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“…Other issues related to pregnancy outcomes of women discharged after admission for threatened preterm labor, such as the lack of an effective maintenance treatment [28,29] or characteristics of the neonates finally delivered at term [30][31][32], are out of the scope of this study; indeed, they are still under debate and need further evaluation.…”

Section: Discussionmentioning

confidence: 99%

Uterine Cervical Length Measurement to Reduce Length of Stay in Patients Admitted for Threatened Preterm Labor: A Randomized Trial

et al. 2017

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Objective: To study whether knowledge of cervical length (CL) is useful in reducing the length of hospital stay in women admitted because of threatened preterm labor. Methods: We performed a single-center, parallel, randomized trial at the Hospital Clínic of Barcelona. Inclusion criteria were single pregnancy, gestational age (GA) between 24⁺⁰ and 35⁺⁶ weeks, Bishop score <6, no parturition within 24-48 h after admission, and no clinical signs of chorioamnionitis, vaginal bleeding, or nonreassuring fetal status. CL measurement was performed 24-48 h after admission. In the control group, the patient and the physician in charge were blinded. In the study group, this information was given; if CL was >25 mm, early discharge within 12-24 h from randomization was recommended. Length of hospital stay was the main outcome. Results: After randomization, 149 patients had complete follow-up (control group, n = 74; study group, n = 75). The mean (SD) length of stay was significantly shorter - 3.0 (2.2) vs. 4.0 (2.0) days (p = 0.004) - in the study group, with a higher proportion of women remaining hospitalized ≤3 days (relative risk [95% confidence interval] 0.43 [0.26-0.70]), with no differences in GA at delivery or preterm birth rate. Conclusions: Knowledge of CL in women admitted because of threatened preterm labor is useful in reducing length of stay, with no impact on GA at delivery or preterm birth rate.

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Perceived stress and its predictors in women with threatened preterm labour: A cross‐sectional study

Najjarzadeh

Abbasalizadeh

Mohammad‐Alizadeh‐Charandabi

et al. 2021

Nursing Open

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Threatened preterm labour is defined as regular uterine contractions in the absence of cervical change or ruptured membranes that is occurred after the gestation of viability and before 37 completed weeks of gestation (Hezelgrave & Shennan, 2017). It is the most common cause of hospitalization during pregnancy (Bacak et al., 2005). There are limited studies on incidence of threatened preterm labour. In a prospective cohort study in the United States, the incidence of first-time hospitalization for threatened preterm labour was 9% and of whom 38% resulted in preterm birth in the first episode (McPheeters et al., 2005).

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Threatened preterm labor is a risk factor for impaired cognitive development in early childhood

Cited by 50 publications

References 41 publications

Is an episode of suspected preterm labor that subsequently leads to a term delivery benign?

Is an episode of suspected preterm labor that subsequently leads to a term delivery benign?

Uterine Cervical Length Measurement to Reduce Length of Stay in Patients Admitted for Threatened Preterm Labor: A Randomized Trial

Perceived stress and its predictors in women with threatened preterm labour: A cross‐sectional study

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