Threatened preterm birth and beyond Clinical management and child follow-up

Open Access
Authors
  • L.I. van der Windt
Supervisors
  • E. Pajkrt
  • M.A. Oudijk
Cosupervisors
  • N.E. Simons
  • C. Dijkstra-Roos
Award date 26-11-2025
ISBN
  • 9789465227696
Number of pages 253
Organisations
  • Faculty of Medicine (AMC-UvA)
Abstract
Despite advances in obstetric care, the optimal management of threatened preterm birth remains to be determined. This thesis contributes to improving the management of threatened preterm birth by evaluating the role of tocolytics and investigating the optimal timing of birth in late preterm prelabour rupture of membranes, considering both short- and long-term child outcomes. Furthermore, this thesis discusses different approaches to long-term follow-up research of children prenatally exposed to obstetric interventions, an area that still receives limited focus. Future studies must further refine the risk assessment of threatened preterm birth, and the evaluation of long-term child outcomes should be standardised in preterm birth studies. Ultimately, by aligning treatment strategies with individual risk profiles, we can improve outcomes not only at birth, but throughout childhood and beyond.
Document type PhD thesis
Note Please note that the acknowledgements section is not included in thesis downloads, and that chapter 3 will become available in the full thesis download from 26 May, 2027.
Language English
Downloads
Thesis (Embargo up to 2027-05-26)
Chapter 6: Cost-effectiveness of atosiban versus placebo for threatened preterm birth (APOSTEL 8 trial) (Embargo up to 2027-05-26)
Chapter 9: School performance after induction of labor or expectant management for preterm prelabor rupture of membranes: A 12-year follow-up of the PPROMEXIL trials (Embargo up to 2027-05-26)
Supplementary materials
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