Prevention of XXXX and premature rupture of the membranes.

@entity4942 @entity1 @entity3152 @entity600
@entity3152 is currently the leading cause of perinatal morbidity and mortality. @entity4942 is the most common easily identifiable cause of @entity3152 , present in 20-30% of preterm births. The conflicting results of success in prematurity prevention programs obtained by different investigators probably reflect the populations that were studied. Meis and colleagues divided the etiologies of low birth weight into four categories: 1) Low birth weight in @entity1 greater than 37 weeks' gestation, 2) @entity4942 , 3) birth weight caused by medical complications, and 4) idiopathic @entity3152 (IPL). In @entity1 seen in the county health department clinic (1,529 births), IPL accounted for 25% of birth weights less than 2,500 g. In contrast, @entity1 seen in a large private obstetric practice (1,327 births), IPL was the etiology of low birth weight in 47% of @entity1 . Not surprisingly, a prematurity prevention program has not reduced the rate of low birth weight for the public @entity1 but has resulted in decreases of low birth weight for the private @entity1 . Paramount in the prevention of @entity600 is physician education regarding known risk factors, signs and symptoms of @entity3152 , and the role of close follow-up in the @entity1 identified as high risk. Papiernik's success with limitation of physical efforts and work leave, when appropriate, in high-risk @entity1 is laudable and, many feel, should be emulated. Prenatal care must include for each @entity1 education concerning the signs and symptoms of @entity3152 and @entity4942 . Individual risk factors must be ascertained and followed with appropriate observation, therapy, and/or modification plans. Finally, the early detection of @entity3152 will expedite prompt treatment and so increase chances of postponing delivery.
