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Definition

Classification of preterm birth

Preterm birth (PTB) is usually defined as delivery at any gestation be­fore 37 completed weeks of pregnancy (United Kingdom study (5) estimated the total cost to the public sector for the care of children born prematurely up to 18 years old to be £2.95 billion annually.

Based on their decision analytical model, an intervention that could delay PTB by just 1 week would reduce these costs to £1.95 billion.

As neonatal morbidity and mortality are inversely proportional to the gestational age of birth, PTB is often subclassified into:

• late preterm (34+o to 36+6 weeks)

• moderate preterm (32+o to when compared to term counterparts (13). Long-term adverse out­comes include delayed behavioural development at 6 years of age, decreased lung function at 8-9 years of age, increased hospitaliza­tion, lower exercise capacity into early adulthood, and increased risk of poor metabolic and cardiovascular health (14-16).

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Source: Arulkumaran S., Ledger W., Denny L., Doumouchtsis S. (eds.). Oxford Textbook of Obstetrics and Gynaecology. Oxford University Press,2020. — 928 p.. 2020
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