Cited by 235Preterm Birth and ChorioamnionitisInfant Development and Preterm CareNeonatal Respiratory Health Research

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The preterm birth syndrome: issues to consider in creating a classification system

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Goldenberg, Robert L., Gravett, Michael G., Iams, Jay, Papageorghiou, Aris T., Waller, Sarah A., Kramer, Michael, Culhane, Jennifer, Barros, Fernando, Conde-Agudelo, Augustin, Bhutta, Zulfiqar A., Knight, Hannah E., Villar, Jose·2012·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2011.10.865

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Abstract

A comprehensive classification system for preterm birth requires expanded gestational boundaries that recognize the early origins of preterm parturition and emphasize fetal maturity over fetal age. Exclusion of stillbirths, pregnancy terminations, and multifetal gestations prevents comprehensive consideration of the potential causes and presentations of preterm birth. Any step in parturition (cervical softening and ripening, decidual-membrane activation, and/or myometrial contractions) may initiate preterm parturition, and should be recorded for every preterm birth, as should the condition of the mother, fetus, newborn, and placenta, before a phenotype is assigned.

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Authors: Goldenberg, R. L., Gravett, M. G., Iams, J., Papageorghiou, A. T., Waller, S. A., Kramer, M., Culhane, J., Barros, F., Conde-Agudelo, A., Bhutta, Z. A., Knight, H. E., & Villar, J.
Affiliations: Drexel University (US)
University of Washington (US)
The Ohio State University Wexner Medical Center (US)
University of Oxford (GB)
McGill University (CA)
University of Pennsylvania (US)
Universidade Católica de Pelotas (BR)
Aga Khan University (PK)
ORCID: Goldenberg, Robert L.
Gravett, Michael G.
Iams, Jay
Papageorghiou, Aris T.
Kramer, Michael
Culhane, Jennifer
Barros, Fernando
Bhutta, Zulfiqar A.
Knight, Hannah E.
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2012-02
Volume: 206
Issue: 2
Pages: 113-118
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/j.ajog.2011.10.865
OpenAlex: W1974716010
Cited by: 235
References: 44
Citations by year: 2026: 4 · 2025: 6 · 2024: 24 · 2023: 13 · 2022: 17 · 2021: 18 · 2020: 20 · 2019: 18 · 2018: 21 · 2017: 13 · 2016: 22 · 2015: 13 · 2014: 18 · 2013: 16 · 2012: 9
FWCI: 1.69
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: American Journal of Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
eCommons - AKU (Aga Khan University) (submittedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
Funders: Bill and Melinda Gates Foundation (49038)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Preterm Birth and Chorioamnionitis
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
Keywords: preterm birth, gestational age, fetal maturity, cervical ripening, myometrial contraction, multiple pregnancy, placenta
MeSH terms: Female, Humans, Infant, Newborn, Infant, Premature, Pregnancy, Parturition, Premature Birth, Stillbirth

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The preterm birth syndrome: issues to consider in creating a classification system

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