Premature delivery is a leading cause of infant death. Approximately5000 infants die each year in the United States from complicationsof prematurity and low birth weight. During the past decade,mechanisms contributing to prematurity have been identified.1The observation that several pathways are involved in its pathogenesismay explain why premature delivery has proved so difficult topredict and prevent.
Premature activation of the fetal hypothalamicpituitaryadrenalaxis may result from maternal psychosocial or fetal physiologicalstress (for example, when there is insufficient uteroplacentalblood flow). This mechanism may account for up to one thirdof premature births.1,2 The critical . . . [Full Text of this Article]
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