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. 2022 Aug 23;19(8):e1004074. doi: 10.1371/journal.pmed.1004074

Table 1. Definition of appropriate use of interventions, based on WHO recommendations*.

Domain ACS Tocolytics Magnesium sulphate Antibiotics
Who Women at risk of imminent preterm birth (birth is predicted to occur within 7 days starting treatment) with no clinical evidence of infection Women at risk of imminent preterm birth who are eligible for ACSs administration Women at risk of imminent preterm birth Women with PPROM
When Gestational age from 24 to 34 weeks accurately assessed through ultrasound dating N/A Gestational age less than 32 weeks assessed by ultrasound dating After a definitive diagnosis of PPROM
Where Health facility where adequate childbirth and preterm newborn care are available (including resuscitation, thermal care, feeding support, infection treatment, and safe oxygen use) Health facility where adequate childbirth is available Health facility where adequate childbirth is available Health facility where adequate childbirth is available
How Intramuscular dexamethasone or betamethasone (24 mg in divided doses). Single repeat course can be administered if birth does not occur within 7 days of initial dose and there is high risk of preterm birth in the next 7 days Nifedipine (a calcium channel blocker) is the preferred agent, administered as 10–30 mg initial dose, followed by 10–20 mg every 4–8 hours up to 48 hours or until referral complete Administer prior to birth or up to 24 hours prior to anticipated birth Erythromycin-recommended regimen

*Adapted from WHO recommendations on interventions to improve preterm birth outcomes: evidence base [12]; N/A, not applicable.

ACS, antenatal corticosteroid; PPROM, preterm prelabour rupture of membranes; WHO, World Health Organisation.