Premature labour Flashcards
What is premature labour?
Delivery before 37 weeks gestation
When are babies considered non-viable?
If delivered before 23 weeks
What is the classification of prematurity?
32-37 weeks - moderate to late preterm
28-32 weeks - very preterm
Before 28 weeks - extreme preterm
What is the prophylaxis of premature labour?
Vaginal progesterone
Cervical cerclage
Who is vaginal progesterone given to?
Women with a cervical length of less than 25mm on ultrasound between 16 and 24 weeks gestation
What is cervical cerclage?
Putting a stitch in the cervix to support it and keep it closed
When is cervical cerclage performed?
Between 16 and 24 weeks to women with a cervical length of less than 25mm who have had a previous premature birth or cervical trauma
Rescue cervical cerclage - between 16 and 27+6 weeks in women with cervical dilation
What is the management of preterm labour with intact membranes?
CTG
Tocolysis with nifedipine
Maternal corticosteroids
IV magnesisum sulfate
Delayed cord clamping
When are tocolytics used?
Between 24 and 33+6 weeks to stop contractions and delay delivery
What are the risks of prematurity?
Respiratory distress
Intraventricular haemorrhage
Necrotising entercolitis
Chronic lung disease
Retinopathy of prematurity
Hearing problems
