Accouchement du prématuré

V. Castaigne, O. Picone, R. Frydman
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Abstract

Spontaneous or induced prematurity are leading causes of perinatal morbidity and mortality. Gestational age is the more important prognosis factor. Prevention and management of preterm labour are fundamental. Improvement of morbidity and mortality can be achieved by antenatal corticosteroid therapy and delivery in a maternity hospital adapted to the gestational age. The mode of delivery of premature infants is controversial. However, natural delivery seems to be privileged in case of vertex presentation. In breech presentation or in case of chorioamnionitis, caesarean section is preferred.

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早产儿的分娩
自发性或诱发性早产是围产期发病和死亡的主要原因。胎龄是更重要的预后因素。预防和管理早产是根本。通过产前皮质类固醇治疗和在适合胎龄的妇产医院分娩,可以改善发病率和死亡率。早产婴儿的分娩方式存在争议。然而,在顶点表示的情况下,自然传递似乎是优先的。在臀位或绒毛膜羊膜炎的情况下,剖腹产是首选。
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