Show Notes

Join us for a compelling conversation with Dr. Siobhan Corcoran, a distinguished consultant obstetrician at the National Maternity Hospital in Dublin, as we tackle the intricate subject of preterm birth. Dr. Corcoran brings her expertise to the table, sharing insights from her work at the preterm birth prevention clinic, and her pivotal role in the PREPOP study, which explores the potential of oral probiotics in reducing spontaneous preterm birth among high-risk pregnancies. Our discussion highlights the delicate balance between extending pregnancies safely and my role as a neonatologist caring for those who arrive too soon.

The episode sheds light on the often-overlooked challenges of late preterm births, particularly the impact on families who navigate both practical and psychological hurdles. We explore the myriad health issues that contribute to preterm births, including infection and inflammation, and discuss prevention strategies that underscore the importance of robust maternal health and targeted antenatal care. Dr. Corcoran and I delve into the complexities of identifying high-risk pregnancies, touching on the debate surrounding universal cervical length screening and the need for a personalized approach to care.

As we focus on prevention, we examine the multifaceted strategies available, from preconceptual counselling and lifestyle modifications to the use of cervical cerclage and progesterone interventions.

Our conversation underscores the importance of a holistic approach to maternal care, integrating emotional support and mental health resources for parents. With Dr. Corcoran's valuable insights, we reflect on the broader implications for neonatal outcomes, long-term development, and the support systems crucial for families facing the uncertainties of preterm birth.

Preterm Birth Episode: https://open.spotify.com/episode/4S53qMaaomixfTzQSwvZYk?si=PWaSIFwmTYGDUN1t2HAPkA

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