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Jason's MD3 Women's > Preterm Labour > Flashcards

Flashcards in Preterm Labour Deck (11)
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1
Q

Reasons for delivery less than 34 weeks?

A
Preterm labour (60%)
PROM
Multiple preg
Antepartum haemorrhage
Hypertension
2
Q

Major obstetric reasons for early delivery?

A

Preeclampsia

Fetal growth restriction

3
Q

Reasons for early labour?

A
Infection
Cause
Consequence
Both
Neither
4
Q

Prophylaxis for preterm labour

A
Socioeconomic S
Education
Cervical cerci age
Her red
Toxo lysis
Control infection
5
Q

Predictors of preterm labour?

A
Cervical length (longer = better)
Fetal Fibronectin - intercellular 'cement' 
-higher number - worse because it's coming off due to contractions
6
Q

Is fetal Fibronectin good?

A

100% negative predictive value, so it’s good if it’s negative. Won’t go into labour. Will help direct transfer if needed?

7
Q

Tocolytic of choice these days?

A

Nifedipine

8
Q

Tocolytic use affect outcome of preterm labour?

A

Not really any change in mortality.

9
Q

When use locolytic?

A

To delay labour to allow for:
Hospital Transfer
Corticosteroids to be given to hep mature fetal lungs

10
Q

Why PROM?

A

Most not known
Infection?
Antepartum haemorrhage

11
Q

Mx of PROM?

A

Short term burst of tocolysis and then give steroids

Bad?