THE ACCURACY OF RISK SCORES IN PREDICTING PRETERM BIRTH : A SYSTEMATIC REVIEW

Roni Andre Syahputra Damanik
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Abstract

Around the world, premature birth, also known as preterm birth (PTB), is one of the leading causes of perinatal illness and death. The majority of preterm births (two-thirds) are the result of spontaneous preterm birth (SPTB), while the remaining one-third are necessary for medical reasons owing to complications with either the mother or the fetus. A combination of factors, including a large decline in birth rates and an increase in the average mother age at the time of conception, has led to an increase in the number of pregnancies accomplished with the use of assisted reproductive technology (ART), as well as an increase in the number of children who are delivered prematurely. Despite the enormous advancements that have been achieved in the treatment of premature babies, the prevention of preterm births is not yet a reality. This is despite the fact that there has been substantial success made in treating premature newborns.  There are a number of risk factors that have been linked to premature birth, including a cervix that is too short, a maternal age that is larger than 35 years, a maternal body mass index that is greater than 25, smoking habits, and comorbid risk factors (such as hypertension and diabetes).
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风险评分预测早产的准确性:一项系统综述
在世界各地,早产,也称为早产(PTB),是围产期疾病和死亡的主要原因之一。大多数早产(三分之二)是自然早产(SPTB)的结果,而其余三分之一是由于母亲或胎儿并发症造成的医疗原因所必需的。包括出生率大幅下降和母亲怀孕时平均年龄增加在内的多种因素导致使用辅助生殖技术(ART)完成怀孕的人数增加,以及早产儿童人数增加。尽管在治疗早产儿方面取得了巨大进展,但预防早产尚未成为现实。尽管事实上在治疗早产新生儿方面已经取得了巨大的成功。与早产有关的风险因素有很多,包括宫颈过短、母亲年龄大于35岁、母亲体重指数大于25、吸烟习惯和合并症风险因素(如高血压和糖尿病)。
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