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Cited by 332

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Intrauterine infection and preterm labor

Open access
Agrawal, Varkha, Hirsch, Emmet·2012·Seminars in Fetal and Neonatal Medicine

Abstract

Summary Preterm labor is defined as labor that begins before 37 completed weeks of pregnancy. More than 12% of infants born in the USA are preterm. At least 40% of preterm births are associated with intrauterine infection. Toll-like receptors (TLRs) are members of a family of cell-surface proteins responsible for recognition of a diverse spectrum of bacterial, viral and fungal pathogens. TLRs initiate the host innate (i.e. non-adaptive) immune response, inducing a proinflammatory cascade involving cytokines, chemokines, prostaglandins, and other effector molecules that result in the characteristic phenomena of labor, such as uterine contractions and rupture of fetal membranes. These cascades may also be activated by mechanisms that are not primarily infectious but are accompanied by inflammatory responses. Now that the molecular mechanisms linking infection and labor have been, to a large extent, elucidated, the challenge is to identify points of overlap with non-infectious causes of labor and to find intervention strategies that can minimize the negative impact of preterm delivery.

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Metadata

Authors
Agrawal, V., & Hirsch, E.
Venue
Seminars in Fetal and Neonatal Medicine
Publisher
Elsevier BV
Published
2012-02
Volume
17
Issue
1
Pages
12-19
ISSN
1744-165X (ISSN-L)
OpenAlex
W2027759577
Cited by
332
References
82
FWCI
8.00
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Intrauterine infection and preterm labor. https://app.cochat.ai/papers/10.1016/j.siny.2011.09.001
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Agrawal, V., & Hirsch, E. (2012). Intrauterine infection and preterm labor. Seminars in Fetal and Neonatal Medicine. https://doi.org/10.1016/j.siny.2011.09.001

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