Preterm Labor Flashcards

1
Q

What constitutes Pre-Term birth?
Early PT?
Late PT?

A

20 to 37wks
Less than 34
34 to 36 6/7

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2
Q

What is the most common cause of death in children

A

Premature Birth

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3
Q

What constitutes SMall/Appropriate/large for gestational age?

A

Less than 10th
10th to 90th
Greater than 90th

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4
Q

What constitutes Low/very low and extremenly low birthweight?

A
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5
Q

What are the Pulmonary complications of Prematurity?

A

Resp Distress Syndrome
Bronchopulm dysplasia
Apnea of prematurity

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6
Q

What are the Cardiovascular complications of Prematurity?

A

PDA
Apnea and Bradycardia
Hypotension

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7
Q

What are the GI complications of Prematurity?

A

Necrotizing enterocolitis

Dysmotility, reflux, poor feeding, Jaundice, hypoglycemia

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8
Q

What are the CNS complications of Prematurity?

A

IVH, Periventricular leukomalacia

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9
Q

What are the Visual complications of Prematurity?

A

Retinopathy of prematurity

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10
Q

What are the Skin complications of Prematurity?

A

Thermoreg instability, excess insensible water loss

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11
Q

What are the Immunologic/ Heme complications of Prematurity?

A

Infection/Sepsis, Meningitis, anemia of prematurity

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12
Q

WHat is the biggest predictor of preterm birth?

A

Previous pre-term births

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13
Q

WHat are the symptoms of Preterm labor?

A
Inc pelvic pressure
Persistent Cramps
Contract >6hrs
Back pain 
Vaginal Discharge
Cervix dilated >3cm
Cervix effaced > 75%
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14
Q

WHat is Fetal Fibronectin?

A

Attachment of fetal mambranes to the uterine wall

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15
Q

WHat are the precautions of Fetal Fibronectin(FFN)?

A

Can’t check if they have already been examined

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16
Q

What are the different Tocolytic Drugs used to Treat preterm labor?

A

Ca++: Nifedipine
COX inhib: Indomethicin
Terbutaline BAD

17
Q

What are the effects of Bed rest in preterm labor?

A

Stress
Venous Thrombosis
Muscle atrophy
Does NOT reduce pre-term delivery

18
Q

What is the purpose of prolonging gestation for 48 hours in preterm labor?

A

Can give mom steroids which increases baby’s surfactant production