Periodontal infection and preterm birth: results of a prospective study

Article Abstract:

Pregnant women who have periodontal disease during pregnancy have a higher risk of premature birth, according to a study of 1,313 pregnant women. For this reason, dentists should advise all pregnant women to take good care of their teeth and gums.

Periodontal disease, Periodontal diseases

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The Alabama preterm birth study: Corticosteroids and neonatal outcomes in 23- and 32-week newborns with various markers of intrauterine infection

Article Abstract:

A study is conducted to evaluate 457 sets of 23- to 32-week mother/newborn dyads, and within those with various markers of intrauterine infection/inflammation, to compare the use of corticosteroids (CS) to a number of newborn outcomes. Results suggest that in women with intrauterine infection/inflammation, the use of CS does not negatively affect any neonatal outcome, and is associated with marked reductions in respiratory distress syndrome (RDS) and systemic inflammatory response syndrome (SIRS).

United States, Complications and side effects, Drug therapy, Infants (Premature), Premature infants, Corticosteroids, Uterine diseases, Corticosteroid drugs

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Cervical examination and tocodynamometry at 28 weeks' gestation: prediction of spontaneous preterm birth

Article Abstract:

Cervical ripening and more than two contractions within 30 minutes at 28 weeks gestation in low-risk women with no prior births is associated with preterm birth. One of the strongest predictors of preterm birth is a previous preterm birth, but no reliable predictive factors are known for first-time mothers. A group of 589 low-risk women with no prior births underwent cervical assessment and 30 minutes of contraction monitoring at 28 weeks gestation. Overall, 5.5% of the group gave birth before 37 weeks gestation. Women with a cervix of soft or medium consistency and two or more contractions within 30 minutes had a 19% probability of giving birth preterm. Taken separately, cervical effacement equal to or greater than 25%, soft consistency, Bishop score (a 10 point scale that evaluates cervical readiness for labor) of 2 or more, and two or more contractions within 30 minutes all associated with better than a 10% to 16% probability of preterm birth.

Medical examination, Cervix uteri

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