In many cases of preterm labour obstetric management consists principally of attempting to suppress contractions in women who are already in established labour. As will be discussed in greater detail, this strategy is essentially ineffective. It is probable that in the future obstetric strategies to reduce perinatal morbidity and mortality associated with preterm labour will involve the early identification of women at risk and the use of prophylactic therapies. Attempts have been made to devise risk scoring systems based on socio-demographic characteristics, anthropomorphic characteristics, past history, patient behaviour and habits and factors in the current pregnancy. None of these systems has been found to have positive predictive values or sensitivities which make them clinically useful. Most systems rely heavily on past obstetric history and are therefore irrelevant to women having their first baby. At the present time there are no screening tests which are routinely applied to gravid women who are not at high risk for preterm labour.
Was this article helpful?
The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.