Preterm Labour Flashcards Preview

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

Flashcards in Preterm Labour Deck (11):
1

Reasons for delivery less than 34 weeks?

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

2

Major obstetric reasons for early delivery?

Preeclampsia
Fetal growth restriction

3

Reasons for early labour?

Infection
Cause
Consequence
Both
Neither

4

Prophylaxis for preterm labour

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

5

Predictors of preterm labour?

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

6

Is fetal Fibronectin good?

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

7

Tocolytic of choice these days?

Nifedipine

8

Tocolytic use affect outcome of preterm labour?

Not really any change in mortality.

9

When use locolytic?

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

10

Why PROM?

Most not known
Infection?
Antepartum haemorrhage

11

Mx of PROM?

Short term burst of tocolysis and then give steroids
Bad?