Flashcards in 8 - Obs - Preterm Delivery - Ix + MGMT Deck (6):
-To assess fetal state: ??? and ???
-To assess likelihood of delivery: if cervix ?, fetal ?
assay helpful, ?ve result means preterm deliv unlikely. TVUSS of cervical ? also predictive – unlikely if >?mm.
-To look for Infection: Vaginal ?
taken, ? speculum if membranes ?. Maternal CRP rises w ?, WCC estimation useful but ? incr it.
CTG + USS
MGMT - Steroids
-given ?-?wks. In women only presx w ?, can be restricted to those fibronectin ?ve or ?
cervix. Reduce ? morb and mort by promoting ? maturity. Don’t incr risk of ? but careful ? control in ?. Take ? to act, so deliv delayed artificially w ?. ? doses not advised.
MGMT - Tocolysis
? or ?, oxytocin-r ?, given to allow ? time to act or allow in ? transfer to ???? unit. Delay preterm labour, not used for >?. Ritodrine or ? and NSAIDs also delay but have ?s
MGMT - Detection and Prevention of Infection:
Presence of infection within ?
risks ? health and considerably worsens ?
outlook. May even occur w/o ? rupture, chorioamnionitis warrants IV ? and ? delivery. Abs not given to simply threatened preterm labour (? ? risk).
MGMT - Delivery
Mode of Delivery: ? reduces incidence of ? distress syndrome in ?, C section done only for usual ?
indications. ? presx more common in preterm, ? c section usual.
Abx for Delivery: For women in ? preterm labour (not ?) due to incr risk and morb of ???.