Preventing Preterm Birth: Exploring Innovative Solutions

Tiffany Habelrih, Béatrice Ferri,France Côté, Juliane Sévigny, Thalyssa-Lyn Augustin, Kevin Sawaya,William D. Lubell,David M. Olson,Sylvie Girard,Sylvain Chemtob

Clinics in Perinatology(2024)

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摘要
This review examines the complexities of preterm birth (PTB), emphasizes the pivotal role of inflammation in the pathogenesis of preterm labor, and assesses current available interventions. Antibiotics, progesterone analogs, mechanical approaches, nonsteroidal anti-inflammatory drugs, and nutritional supplementation demonstrate a limited efficacy. Tocolytic agents, targeting uterine activity and contractility, inadequately prevent PTB by neglecting to act on uteroplacental inflammation. Emerging therapies targeting toll-like receptors, chemokines, and interleukin receptors exhibit promise in mitigating inflammation and preventing PTB.
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关键词
Preterm birth,Therapeutics,Tocolytics,Inflammation,Pathophysiology,Preterm labor,Neonatal outcome
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