Maintaining and repeating tocolysis: A reflection on evidence.
Identifieur interne : 000850 ( PubMed/Checkpoint ); précédent : 000849; suivant : 000851Maintaining and repeating tocolysis: A reflection on evidence.
Auteurs : Isabelle Dehaene [Belgique] ; Lina Bergman [Suède] ; Paula Turtiainen [Finlande] ; Alexandra Ridout [Royaume-Uni] ; Ben Willem Mol [Australie] ; Elsa Lorthe [France]Source :
- Seminars in perinatology [ 1558-075X ] ; 2017.
Abstract
It is inherent to human logic that both doctors and patients want to suppress uterine contractions when a woman presents in threatened preterm labor. Tocolysis is widely applied in women with threatened preterm labor with a variety of drugs. According to literature, tocolysis is indicated to enable transfer to a tertiary center as well as to ensure the administration of corticosteroids for fetal maturation. There is international discrepancy in the content and the implementation of guidelines on preterm labor. Tocolysis is often maintained or repeated. Nevertheless, the benefit of prolonging pregnancy has not yet been proven, and it is not impossible that prolongation of the pregnancy in a potential hostile environment could harm the fetus. Here we reflect on the use of tocolysis, focusing on maintenance and repeated tocolysis, and compare international guidelines and practices to available evidence. Finally, we propose strategies to improve the evaluation and use of tocolytics, with potential implications for future research.
DOI: 10.1053/j.semperi.2017.08.005
PubMed: 28943054
Affiliations:
- Australie, Belgique, Finlande, France, Royaume-Uni, Suède
- Angleterre, East Middle Sweden, Grand Londres, Svealand, Île-de-France
- Londres, Paris, Uppsala
- Université d'Uppsala
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Tocolysis is widely applied in women with threatened preterm labor with a variety of drugs. According to literature, tocolysis is indicated to enable transfer to a tertiary center as well as to ensure the administration of corticosteroids for fetal maturation. There is international discrepancy in the content and the implementation of guidelines on preterm labor. Tocolysis is often maintained or repeated. Nevertheless, the benefit of prolonging pregnancy has not yet been proven, and it is not impossible that prolongation of the pregnancy in a potential hostile environment could harm the fetus. Here we reflect on the use of tocolysis, focusing on maintenance and repeated tocolysis, and compare international guidelines and practices to available evidence. Finally, we propose strategies to improve the evaluation and use of tocolytics, with potential implications for future research.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28943054</PMID><DateCreated><Year>2017</Year><Month>09</Month><Day>25</Day></DateCreated><DateRevised><Year>2017</Year><Month>09</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1558-075X</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Sep</Month><Day>21</Day></PubDate></JournalIssue><Title>Seminars in perinatology</Title><ISOAbbreviation>Semin. Perinatol.</ISOAbbreviation></Journal><ArticleTitle>Maintaining and repeating tocolysis: A reflection on evidence.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0146-0005(17)30093-9</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1053/j.semperi.2017.08.005</ELocationID><Abstract><AbstractText>It is inherent to human logic that both doctors and patients want to suppress uterine contractions when a woman presents in threatened preterm labor. Tocolysis is widely applied in women with threatened preterm labor with a variety of drugs. According to literature, tocolysis is indicated to enable transfer to a tertiary center as well as to ensure the administration of corticosteroids for fetal maturation. There is international discrepancy in the content and the implementation of guidelines on preterm labor. Tocolysis is often maintained or repeated. Nevertheless, the benefit of prolonging pregnancy has not yet been proven, and it is not impossible that prolongation of the pregnancy in a potential hostile environment could harm the fetus. Here we reflect on the use of tocolysis, focusing on maintenance and repeated tocolysis, and compare international guidelines and practices to available evidence. Finally, we propose strategies to improve the evaluation and use of tocolytics, with potential implications for future research.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dehaene</LastName><ForeName>Isabelle</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Gynecology and Obstetrics, UZ Gent, De Pintelaan 185, 9000 Ghent University, Ghent, Belgium. Electronic address: isabelle.dehaene@ugent.be.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bergman</LastName><ForeName>Lina</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department for Women and Children's Health, Uppsala University, Uppsala, Sweden; Center for Clinical Research, Falun, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Turtiainen</LastName><ForeName>Paula</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Gynecology and Obstetrics, Tampere University Hospital, Tampere, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ridout</LastName><ForeName>Alexandra</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Women's Health, King's College London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mol</LastName><ForeName>Ben Willem</ForeName><Initials>BW</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, School of Medicine, University of Adelaide, Adelaide, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lorthe</LastName><ForeName>Elsa</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOPé), INSERM, Center for Epidemiology and Statistics Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>from the International Spontaneous Preterm birth Young Investigators group (I-SPY)</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>09</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Semin Perinatol</MedlineTA><NlmUniqueID>7801132</NlmUniqueID><ISSNLinking>0146-0005</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">I-SPY</Keyword><Keyword MajorTopicYN="N">Maintenance tocolysis</Keyword><Keyword MajorTopicYN="N">Preterm birth</Keyword><Keyword MajorTopicYN="N">Preterm labor</Keyword><Keyword MajorTopicYN="N">Repeated tocolysis</Keyword><Keyword MajorTopicYN="N">Tocolysis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28943054</ArticleId><ArticleId IdType="pii">S0146-0005(17)30093-9</ArticleId><ArticleId IdType="doi">10.1053/j.semperi.2017.08.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Belgique</li><li>Finlande</li><li>France</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>East Middle Sweden</li><li>Grand Londres</li><li>Svealand</li><li>Île-de-France</li></region><settlement><li>Londres</li><li>Paris</li><li>Uppsala</li></settlement><orgName><li>Université d'Uppsala</li></orgName></list><tree><country name="Belgique"><noRegion><name sortKey="Dehaene, Isabelle" sort="Dehaene, Isabelle" uniqKey="Dehaene I" first="Isabelle" last="Dehaene">Isabelle Dehaene</name></noRegion></country><country name="Suède"><region name="Svealand"><name sortKey="Bergman, Lina" sort="Bergman, Lina" uniqKey="Bergman L" first="Lina" last="Bergman">Lina Bergman</name></region></country><country name="Finlande"><noRegion><name sortKey="Turtiainen, Paula" sort="Turtiainen, Paula" uniqKey="Turtiainen P" first="Paula" last="Turtiainen">Paula Turtiainen</name></noRegion></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Ridout, Alexandra" sort="Ridout, Alexandra" uniqKey="Ridout A" first="Alexandra" last="Ridout">Alexandra Ridout</name></region></country><country name="Australie"><noRegion><name sortKey="Mol, Ben Willem" sort="Mol, Ben Willem" uniqKey="Mol B" first="Ben Willem" last="Mol">Ben Willem Mol</name></noRegion></country><country name="France"><region name="Île-de-France"><name sortKey="Lorthe, Elsa" sort="Lorthe, Elsa" uniqKey="Lorthe E" first="Elsa" last="Lorthe">Elsa Lorthe</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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