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Premature birth

Pregnancy is certainly a hot widely explored issue in the www realm. Premature birth, as an important subtopic owing to its implications for maternal and newborn health, is treated in almost every pregnancy related website.

In terms of educational and research materials, a good and comprehensive stop is the website of the Geneva Foundation for Medical Education and Research at www.gfmer.ch/Guidelines/Obstetrics_gynecology_guidelines.php. This is an official body and its website is an authoritative source. In the list of topics there are some related to premature birth, such as preterm labour, preterm rupture of membranes, and group B streptococcal infections in pregnancy. Each topic contains a list of management and prevention guidelines, standards, and statements, published by authorities in various countries. It also includes Cochrane reviews that are related to each topic, as well as relevant articles from journals and professional websites.

Another excellent resource is the university library of the Karolinska Institute, at www.mic.ki.se/Diseases/C13.html. At first glance, this website looks practical, as it keeps all topics and corresponding links to the same page. For example, to find the links pertaining to the topic "pregnancy complications", you need to guide yourself through the contents index at the top, which is in alphabetical order. Your search can then get confusing, however, because these links are not in alphabetical order. This makes your search a time-consuming process, as it forces you to go through every one out of the dozens of links to find what you're looking for.

Of all the links, we would highlight the one dedicated to new parents of premature babies.

If you want to learn about the information available to your patients on the world wide web, two good places to go are the Mayo Clinic resource and the Discovery Health website. These websites are both patient oriented, but they wrap up the information differently. The Mayo Clinic link is more medical professional view in terms of appearance and organisation of information. There are links to other Mayo Clinic resources for patients to explore pregnancy and childbirth. The Discovery Channel link offers a more journalistic and colourfully attractive display. The link takes you to a list of subchapters related to complications of pregnancy; by scrolling down this list, information on prematurity can be found in the "Premature labour" and "Problems with the baby" subchapters. The other subchapters are equally useful to browse, and the “Helpful tools” one includes a set of visual tools from videos and interactive slides to pictures with text explanations.


BSIP ASTIER/SPL

Premature birth is a relevant issue in the developing world. This year, World Health Day was dedicated to Mother and Child Health. The Institute of Child Health in London (www.ich.ucl.ac.uk/library/international.htm) has a sound, albeit non- comprehensive collection of general resources about international health and development, including specific sections on mother and child health, as well as reproductive and sexual health. It's never too late to start to think global.



Tiago Villanueva, final year medical student, University of Lisbon, Portugal

Irina Haivas, fifth year medical student, University of Freiburg, Germany
Email: ihaivas@yahoo.com


studentBMJ 2005;13:221-264 June ISSN 0966-6494



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