Preterm labor Flashcards
What is suspected PTL
Suspected - symptoms of PTL with clinical assessment suggestive of PTL
Diagnosed PTL
Diagnosed - suspected PTL with positive diagnostic test for PTL
Established PTL
Established - regular uterine contractions with progressive cervical dilatation from 4 cm
How many preterm births are planned births?
25%
Who are at risk of PTL ?
Previous preterm births <34 wks
Previous pregnancy loss from 16 wks onwards
Previous PPROM
History of cervical trauma
Current pregnancy CL <=25 mm
For whom to Offer prophylactic vaginal progesterone or prophylactic cervical cerclage?
- a history of spontaneous preterm birth (up to 34+0) or loss (from 16+0 onwards) AND
- TVS carried out between 16+0 and 24+0 that show a cervical length of 25 mm or less
Consider prophylactic vaginal progesterone for women who have either of the above two
When to perform history indicated cerclage
At 11-14 w
most common cardiac SE of atosipan
tachycardia
others:
1. chest pain
2. palpitation
the recommended tocolytic in PTL is
Nifedipine
most common long term consequence of prematurity
Neurodevelopmental disability