Author/Editor		Šajina-Stritar, Barbara
Title		Diagnoza prezgodnjega poroda
Translated title		Diagnosis of preterm labour and delivery
Type		članek
Source		In: Novak-Antolič Ž, editor. Prezgodnji porod in nedonošenček. Zbornik prispevkov 8. Novakovi dnevi z mednarodno udeležbo; 2001 maj 31-jun 2; Maribor. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Publication year		2001
Volume		str. 116-23
Language		slo
Abstract		Backgorund. Early diagnosis of preterm labour is very important for successful prevention of preterm delivery. Only one-third of patients with preterm deliver before the 37th week of pregnancy. The known diagnostic tests are not sufficiently successful for early diagnosis of preterm labour. Material and methods. We searched MEDLINE, Current Contents and Index Medicus for studies published between 1990 and 2001. Results. Uterine contractions are most often the reason for medical help. Tocodynamometry helps in objective assessment of uterine contractions. Manual cervical examination is a good predictor of cervical effacement and dilatation but may underestimate the lenght of the cervix. Transvaginal sonography is the method of choice for assessing cervical changes. The upper cervical length is the best early predictor of preterm labour. FFN and IGFBP-1 in cervical secretion have nearly 100% NPV for premature delivery within seven days. Conclusions. Regular uterine contractions demonstrable by tocodynamometry, cervical effacement and dilatation diagnosed by palpation, short upper cervix detected by vaginal sonography, and positive FFN or IGFBP-1 in cervical secretion help in early diagnosis of preterm labour. Such a patient needs intensive therapy for successful prevention of preterm delivery.
Descriptors		LABOR, PREMATURE UTERINE CONTRACTION CERVIX UTERI PREGNANCY UTERINE HEMORRHAGE FIBRONECTINS CYTOKINES CORTICOTROPIN-RELEASING HORMONE ESTROGENS