urrent preterm labor or preterm delivery, is ineffective and not recommended. Studies have shown that maintenance therapy does not reduce mortality or morbidity. 18, 19, 20 Some long-term side effects include harm to the mothers cardiovascular system, carbohydrate metabolism, and the fetuss cardiovascular system. 12 The use of Magnesium Sulfate with indomethecin (a Prostaglandin inhibitor) is approved as long as the gestation period is less than 32 weeks and for less than 48 hours. 12 Labor is postponed for the same amount of time of most known tocolytics, 48-72 hours. There are many other drugs which are considered investigational drugs, including Calcium Antagonists, Oxytocin Antagonists and Prostaglandin inhibitors, that require more research to determine possible side effects and effectiveness. 18Interventions that are less clinical include education programs, bed rest, and precautions regarding coitus. 21 Coitus later in pregnancy can contribute to the pathogenesis of intrauterine infection. Also, orgasmic activity involves contraction of the uterus and semen contains prostaglandins. Preterm labor can theoretically be triggered by either of these two means.Presently, there are a number of recognized and treatable risk-factors, Known medical and obstetric risk factors for preterm birth should be avoided, eliminated, or reduced, when possible, without undue cost or risk. 22 A good policy proposal for the present would involve better diagnosis and treatment of Urinary Tract Infections (UTIs). The incidence of UTIs among pregnant women at 16 weeks gestation is 6%. Half of the known UTIs are asymptomatic. If women with UTIs go untreated, 40% of them will develop polynephritis and 20-50% of these will develop prematurity. 23 UTIs are easy to treat with proper anti-biotics and antipyretic treatment. The issue is that currently, only Urinalysis is required. Asymptomatic UTIs will no be discovered by this method. Urinary cul...
