GUIDELINE ON PRETERM LABOR AND DELIVERY by the Society of Specialists in Perinatology (Perinatoloji Uzmanlari Dernegi-PUDER), Turkey

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dc.authoridTURGAL, MERT/0000-0001-6702-1584
dc.authoriduysal, nihal şahin/0000-0001-5385-5502
dc.authoridBayram, Mustafa/0000-0002-2994-7201
dc.authorwosidTURGAL, MERT/I-9652-2013
dc.authorwosiduysal, nihal şahin/AAA-9475-2020
dc.authorwosidEroğlu, Derya/X-1874-2018
dc.authorwosidBayram, Mustafa/AAA-4023-2020
dc.contributor.authorAltay, Metin
dc.contributor.authorBayram, Merih
dc.contributor.authorBiri, Aydan
dc.contributor.authorBuyukbayrak, Esra Esim
dc.contributor.authorDeren, Ozgur
dc.contributor.authorErcan, Fedi
dc.contributor.authorEroglu, Derya
dc.date.accessioned2024-06-12T11:12:49Z
dc.date.available2024-06-12T11:12:49Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractPreterm delivery (PTD) occurs between 20(0/7)-36(6/7) weeks of pregnancy and is a major cause of perinatal mortality and morbidity. The prevalence is around 12% in Turkey, ranging between 10 to 15% in different centers. Indicated preterm deliveries due to maternal or fetal reasons constitute approximately 20-30% of the total. The rest occur as a result of spontaneous preterm labor (PTL) or preterm prelabor rupture of the membranes (PPROM), about half and half. Although etiology of spontaneous preterm birth has not been fully elucidated, several risk factors are defined. History of PTD and short cervix are two most important risk factors, particularly in singleton pregnancies. If the cervical length is measured to be <25 mm via transvaginal ultrasonography before the 32nd gestational week, it is defined as short cervix. In women with prior PTD, progesterone preparations are recommended between 16th-36th gestational weeks and cervical length is monitorized; additional preventive measures may be required if short cervix is diagnosed. In women without prior PTD, we universally offer transvaginal ultrasonographic cervical length measurement at the time of midtrimester fetal anomaly scan. When short cervix is determined in such cases, cervical cerclage, vaginal progesterone, cervical pessary, alone or in combination, may be recommended depending on the measurement and the gestational age. Asymptomatically dilated cervix, PTL, and PPROM are generally managed according to the gestational age on a case-by-case basis. Data are limited in twin and higher order multiple pregnancies to recommend standart prevention and management protocols.en_US
dc.identifier.doi10.5336/jcog.2020-78741
dc.identifier.endpage130en_US
dc.identifier.issn2619-9467
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85097754369en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage118en_US
dc.identifier.trdizinid411736en_US
dc.identifier.urihttps://doi.org/10.5336/jcog.2020-78741
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/411736
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23312
dc.identifier.volume30en_US
dc.identifier.wosWOS:000871240000006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherTurkiye Kliniklerien_US
dc.relation.ispartofJournal Of Clinical Obstetrics And Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPremature Birthen_US
dc.subjectObstetric Laboren_US
dc.subjectPrematureen_US
dc.subjectPreterm Premature Rupture Of The Membranesen_US
dc.subjectSonographic Short Cervixen_US
dc.subjectTwin Gestationen_US
dc.subjectNeonatal Morbidityen_US
dc.subjectPremature Ruptureen_US
dc.subjectVaginal Deliveryen_US
dc.subjectControlled-Trialen_US
dc.subjectDouble-Blinden_US
dc.subjectBirthen_US
dc.subjectCerclageen_US
dc.subjectPregnanciesen_US
dc.titleGUIDELINE ON PRETERM LABOR AND DELIVERY by the Society of Specialists in Perinatology (Perinatoloji Uzmanlari Dernegi-PUDER), Turkeyen_US
dc.typeArticleen_US

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