Personalized Medicine for Preventing and Diagnosing Preterm Birth

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Obstetrics and Gynecology".

Deadline for manuscript submissions: 15 December 2024 | Viewed by 678

Special Issue Editor


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Guest Editor
Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
Interests: preterm delivery; PPROM; combined tocolytic therapy; iatrogenic preterm delivery; perinatal outcome; maternal nutrition; preterm birth management; ultrasound and preterm delivery; genomics of preterm birth; ultrasound assessment
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Special Issue Information

Dear Colleagues,

Premature birth, defined by the World Health Organization as birth before 37 weeks, is a pressing global health concern that requires the unwavering attention of the medical community. Worldwide, 15 million children are born prematurely, and every year approximately 1 million of them die, underlining the undeniable importance of preventing premature birth. Preterm birth remained the leading contributor to neonatal morbidity and mortality globally, accounting for 70% of neonatal deaths. Premature newborns often face a range of health challenges, including respiratory distress syndrome, infections and developmental delays. As a rule the lower the gestational age or birth weight, the greater the risk of short-term complications. By preventing preterm birth, healthcare providers can significantly reduce the risk of these adverse outcomes, giving newborns a healthier start in life. In addition, the importance of prevention extends to the long-term health and developmental trajectory of premature infants, with studies showing a higher risk of chronic conditions such as asthma, cerebral palsy and cognitive impairment. These conditions can have lasting effects on a child's quality of life, requiring ongoing medical care and support. By addressing the root causes of preterm birth, healthcare professionals can mitigate the risk of these future health challenges, promoting healthier lives for these babies.

As we delve deeper into the complexity of this issue, it becomes apparent that preventing preterm birth is critical because it not only protects the health and well-being of infants, but also contributes to building a healthier society in general.

At this moment, there is no consensus on the methods of preventing premature birth. Although personalized medicine could play an essential role in this, taking into account that premature birth arises from a multitude of factors, including genetic predisposition, maternal health conditions, choices of lifestyle, and environmental influences, its prevention must be based on clear and standardized guidelines.

This Special Issue aims to reduce the number of unknowns that still exist in relation to premature births and bring us one step closer to understanding the problem. Additionally, we seek to publish discussions of the integration of personalized medicine into modern solutions.

Dr. Roxana Elena Bohiltea
Guest Editor

Manuscript Submission Information

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Keywords

  • premature birth
  • personalized medicine
  • short-term complications
  • prevention
  • newborns

Published Papers (1 paper)

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Review

10 pages, 617 KiB  
Review
Complications of Preterm Birth—The Importance of Care for the Outcome: A Narrative Review
by Jelica Zivaljevic, Miljana Z. Jovandaric, Sandra Babic and Misela Raus
Medicina 2024, 60(6), 1014; https://doi.org/10.3390/medicina60061014 - 20 Jun 2024
Viewed by 512
Abstract
Preterm-born children are susceptible to problems of adaptation in the early neonatal period, as well as the emergence of consequences due to the immaturity of the respiratory, cardiovascular, and especially cerebrovascular systems. The authors searched PubMed, Scopus, the Cochrane Library, and Web of [...] Read more.
Preterm-born children are susceptible to problems of adaptation in the early neonatal period, as well as the emergence of consequences due to the immaturity of the respiratory, cardiovascular, and especially cerebrovascular systems. The authors searched PubMed, Scopus, the Cochrane Library, and Web of Science for articles that were available in their entirety and published in English between 1990 and 2024 in peer-reviewed journals using keywords relevant to the manuscript topic. Analyzing the requested studies and manuscripts, adequate articles describing the stated problem were used. The last trimester of pregnancy is the most important period in brain development. Brain growth is at its most intense, and nerve cells are created, multiply, and migrate, creating numerous connections between them and receptors. During this period, the baby is protected from the influence of external environmental factors. When a baby is born, it leaves its protected environment and very often requires intensive treatment to survive. In these circumstances, the immature nervous system, which is in a sensitive stage of development, is overloaded with numerous external stimuli, continuous light, noise, inappropriate positioning, and repeated painful reactions due to necessary diagnostic and therapeutic procedures and the unavoidable absence of the mother and the family, which cause stress that threatens proper programmed development. Minimally invasive therapeutic procedures and the presence of parents during hospitalization play a significant role in reducing the consequences for a premature child. Full article
(This article belongs to the Special Issue Personalized Medicine for Preventing and Diagnosing Preterm Birth)
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