Etiologically Based Functional Taxonomy of the Preterm Birth Syndrome.

Villar J., Cavoretto PI., Barros FC., Romero R., Papageorghiou AT., Kennedy SH.

Preterm birth (PTB) is a complex syndrome traditionally defined by a single parameter, namely, gestational age at birth (ie, ˂37 weeks). This approach has limitations for clinical usefulness and may explain the lack of progress in identifying cause-specific effective interventions. The authors offer a framework for a functional taxonomy of PTB based on (1) conceptual principles established a priori; (2) known etiologic factors; (3) specific, prospectively identified obstetric and neonatal clinical phenotypes; and (4) postnatal follow-up of growth and development up to 2 years of age. This taxonomy includes maternal, placental, and fetal conditions routinely recorded in data collection systems.

DOI

10.1016/j.clp.2024.02.014

Type

Journal article

Publication Date

2024-06-01T00:00:00+00:00

Volume

51

Pages

475 - 495

Total pages

20

Keywords

Etiology, PPROM, Phenotype, Preterm birth, Preterm labor, Preterm prelabor rupture of membranes, Taxonomy, Humans, Premature Birth, Female, Pregnancy, Infant, Newborn, Gestational Age, Infant, Premature, Syndrome, Risk Factors, Premature Rupture of Fetal Membranes

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