Preterm Labour Flashcards
1
Q
Reasons for delivery less than 34 weeks?
A
Preterm labour (60%) PROM Multiple preg Antepartum haemorrhage Hypertension
2
Q
Major obstetric reasons for early delivery?
A
Preeclampsia
Fetal growth restriction
3
Q
Reasons for early labour?
A
Infection Cause Consequence Both Neither
4
Q
Prophylaxis for preterm labour
A
Socioeconomic S Education Cervical cerci age Her red Toxo lysis Control infection
5
Q
Predictors of preterm labour?
A
Cervical length (longer = better) Fetal Fibronectin - intercellular 'cement' -higher number - worse because it's coming off due to contractions
6
Q
Is fetal Fibronectin good?
A
100% negative predictive value, so it’s good if it’s negative. Won’t go into labour. Will help direct transfer if needed?
7
Q
Tocolytic of choice these days?
A
Nifedipine
8
Q
Tocolytic use affect outcome of preterm labour?
A
Not really any change in mortality.
9
Q
When use locolytic?
A
To delay labour to allow for:
Hospital Transfer
Corticosteroids to be given to hep mature fetal lungs
10
Q
Why PROM?
A
Most not known
Infection?
Antepartum haemorrhage
11
Q
Mx of PROM?
A
Short term burst of tocolysis and then give steroids
Bad?
