Preterm Labor Flashcards
What constitutes Pre-Term birth?
Early PT?
Late PT?
20 to 37wks
Less than 34
34 to 36 6/7
What is the most common cause of death in children
Premature Birth
What constitutes SMall/Appropriate/large for gestational age?
Less than 10th
10th to 90th
Greater than 90th
What constitutes Low/very low and extremenly low birthweight?
What are the Pulmonary complications of Prematurity?
Resp Distress Syndrome
Bronchopulm dysplasia
Apnea of prematurity
What are the Cardiovascular complications of Prematurity?
PDA
Apnea and Bradycardia
Hypotension
What are the GI complications of Prematurity?
Necrotizing enterocolitis
Dysmotility, reflux, poor feeding, Jaundice, hypoglycemia
What are the CNS complications of Prematurity?
IVH, Periventricular leukomalacia
What are the Visual complications of Prematurity?
Retinopathy of prematurity
What are the Skin complications of Prematurity?
Thermoreg instability, excess insensible water loss
What are the Immunologic/ Heme complications of Prematurity?
Infection/Sepsis, Meningitis, anemia of prematurity
WHat is the biggest predictor of preterm birth?
Previous pre-term births
WHat are the symptoms of Preterm labor?
Inc pelvic pressure Persistent Cramps Contract >6hrs Back pain Vaginal Discharge Cervix dilated >3cm Cervix effaced > 75%
WHat is Fetal Fibronectin?
Attachment of fetal mambranes to the uterine wall
WHat are the precautions of Fetal Fibronectin(FFN)?
Can’t check if they have already been examined
What are the different Tocolytic Drugs used to Treat preterm labor?
Ca++: Nifedipine
COX inhib: Indomethicin
Terbutaline BAD
What are the effects of Bed rest in preterm labor?
Stress
Venous Thrombosis
Muscle atrophy
Does NOT reduce pre-term delivery
What is the purpose of prolonging gestation for 48 hours in preterm labor?
Can give mom steroids which increases baby’s surfactant production
