A6- Pre-term Birth

Question 1

What is preterm?

Answer 1

Preterm is defined as babies born alive before 37 weeks of pregancny are completed.

Question 2

There are sub-categories of preterm birth, based on gestational age:

• Extremely preterm
• Very preterm
• Moderate to late preterm

Answer 2

• Extremely preterm (<28 weeks)
• Very preterm (28 to <32weeks)
• Moderate to late preterm (32 to <37 weeks)

Question 3

WHat are the causes of preterm birth?

Answer 3

Uterine Overdistension

Cervical Disease

Decidual Senescence

Vascular disorders

Infection

Breakdown of Maternal Fetal tolerance

Stress

Unknown

Question 4

Why i soreterm birth so important

Answer 4

The earlier preterm birth occurs, the higher the chance of neonatal death and also long term disability

Question 5

What are some long term, complications for premature birth

Answer 5

• Cerebral palsy
• Impaired learning
• Vision problems
• Hearing problems
• Dental problems
• Behavioural and psychological problems
• Chronic health issues.

Question 6

What are the screening programmes available for preterm births

Answer 6

Cervical Length in high risk women

Asymptomatic bacteriuria

Question 7

How do you do cervical length measurements?

Answer 7

Through a transvaginal scan

Question 8

Can a shorter cervix (less than 40mm) be a relative risk of preterm birth

Answer 8

yes

Question 9

What are some infection risk factors for preterm births

Answer 9

Bacterial Vaginosis

Chlamydia Trachomatis

Asymptomatic Bacteriuria

Periodontal disease in pregnancy

Trichomonas Vaginalis

Vaginal Candidasis

Question 10

What monitoring method is offered in Liverpool?

Answer 10

Serial Cervical Length scannign from 16 weeks