Keppler 12 Flashcards
types of preterm labor/delivery (3)
spontaneous preterm birth
preterm premature rupture of membranes
cervical insufficiency
rf for preterm labor/delivery (5)
it happened before
extremes of age
multiple gestation
prior cervical surgery
tobacco/drugs
preterm delivery
prior to 37 weeks
t/f: we are effective at stopping preterm labor once process has started
F! we just try to prevent harm to fetus
most important prognostic factor in preterm labor/delivery
gestational age
also weight, gender, race
painless cervical dilation in 2nd trimester resulting in pregnancy loss
cervical insufficiency
2 indications for cerclage
confirmed hx of cervical insufficiency
incidentally shortened cervix found on OB US
__ decreases risk of preterm birth in pt w. certain rf for preterm labor/delivery, but research is controversial
progesterone
pt w. symptoms of preterm labor and concern for preterm delivery should be given a course of
corticosteroids
beta
corticosteroids improve __
fetal outcomes
what med is thought to decrease risk of severe IVH
Mg Sulfate
what med may delay delivery in preterm labor to allow for administration of steroids and Mg
tocolytics
t/f: there are long term benefits of tocolytics
F!
in PPROM, __ may increase latency from time of rupture to onset of labor
abx
in PPROM, what med might help fetal lung maturation
steroids
