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Professional paper - Review paper
LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA
Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, 17 (2008), 4; 207-215. urn:nbn:hr:184:689302
Prodan, Mirko; Petrović, Oleg

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Prodan, M. & Petrović, O. (2008). LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA. Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, 17. (4), 207-215. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:689302

Prodan, Mirko and Oleg Petrović. "LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA." Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, vol. 17, no. 4, 2008, pp. 207-215. https://urn.nsk.hr/urn:nbn:hr:184:689302

Prodan, Mirko and Oleg Petrović. "LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA." Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics 17, no. 4 (2008): 207-215. https://urn.nsk.hr/urn:nbn:hr:184:689302

Prodan, M. and Petrović, O. (2008) 'LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA', Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, 17(4), pp. 207-215. Available at: https://urn.nsk.hr/urn:nbn:hr:184:689302 (Accessed 27 April 2024)

Prodan M, Petrović O. LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA. Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics [Internet]. 2008 [cited 2024 April 27];17(4):207-215. Available at: https://urn.nsk.hr/urn:nbn:hr:184:689302

M. Prodan and O. Petrović, "LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA", Gynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics, vol. 17, no. 4, pp. 207-215, 2008. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:689302. [Accessed: 27 April 2024]

Metadata
Title (croatian)LIJEČENJE PRIJETEĆEG PRIJEVREMENOG PORODA
Title (english)TREATMENT OF THREATENED PRETERM LABOR
AuthorMirko Prodan
AuthorOleg Petrović
Author's institutionUniversity of Rijeka
Faculty of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (croatian)
Sažetak. Prijevremeni porod je vodeći uzrok neonatalnog mortaliteta i morbiditeta i još uvijek jedan od najvećih problema i izazova suvremene perinatologije. Njegovo sprječavanje i liječenje je otežano zbog postojanja većeg broja uzročnih i rizičnih čimbenika koji su dijelom i nepoznati. U ovom prikazu razmotreni su različiti postupci i lijekovi za sprječavanje i liječenje prijetećeg prijevremenoga poroda. Posebno su analizirane pojedine skupine tokolitika, njihova učinkovitost i nedostatci. Oni mogu odgoditi porod za najviše 48 sati do sedam dana, ali bitno ne poboljšavaju perinatalni i neonatalni ishod. Taj vremenski period je, međutim, dovoljan za transport u tercijarni perinatološki centar i sprovođenje kortikosteroidne profilakse. Smatra se da je to jedini dokazan učinak tokolitičke terapije. Za sada, dok se ne otkriju bolji i učinkovitiji lijekovi i metode, kvalitetna i pravodobna antenatalna skrb, hospitalizacija pa i preventivna, u odabranim rizičnim slučajevima još uvijek najdjelotvornije smanjuju učestalost prematuriteta i njegovih neželjenih posljedica.
Abstract (english)
Preterm labor is a leading cause of neonatal mortality and morbidity, and still remains the greatest problem and challenge for modern perinatology. Prevention and treatment of preterm labor is difficult due to multiple risk and ethiological factors, some of them also unknown. In this paper various methods of treatments and pharmacological agents for prevention and inhibition of threatened preterm labor are discussed. Particularly some groups of tocolytic agents, their efficacy, and adverse effects have been analyzed. Tocolytic agents can delay delivery for 48 hours up to seven days, but whithout improvements on perinatal and neontatal outcome. Prolonging gestation with tocolytic agents allows administration of antenatal glucocorticosteroids to reduce incidence and severity of respiratory distress syndrome and also to allow transport in utero in the tertiary perinatal center with neonatal intensive care unit. It is the only proven effect of tocolytic therapy. Up till now, the best quality of antenatal care, hospitalization sometimes also preventive, in some cases of high risk pregnancies is the most effective strategy in decreasing prematurity and adverse consequences.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleGynaecologia et perinatologia : journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics
Numberingvol. 17, no. 4, pp. 207-215
p-ISSN1330-0091
URN:NBNurn:nbn:hr:184:689302
Publication2008
Document URLhttps://hrcak.srce.hr/62296
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-10-26 18:15:15