Prom And Pretern Labour

Question 1

Early preterm and late preterm

Answer 1

Less than 33 weeks
34-36 weeks

Question 2

Preterm labour causes

Answer 2

Prior he
Infection
Artificial reproductive technique
IUD

Question 3

Diagnosis of preterm labour

Answer 3

> 4 contraction in 20 min
8 contraction in 60 min
Cervix more than 3cm
Cervical length <2.5 cm
Fetal fibrobectin >50
U shaped cervix

Question 4

To prevent preterm labour use?

Answer 4

Progesterone
Cervical cerclage(usually at 12 weeks )

Question 5

In order to prevent respiratory distress syndrome we IX

Answer 5

Lecithin/sphingomylin ratio >2 indicates lung maturity
Lamilar body count
Shake/bubble test
Phosphatydyl glycerol test

Question 6

Mgt of preterm labour

Answer 6

Dexamethasone 6mg every 12 hrs (4 dose)
Bethamethadone 13 mg every 12 hrs(2 dose)

Question 7

In case of preterm labour active stage

Answer 7

Sulfactanat post natally

Question 8

Contraindication for steroid use

Answer 8

Chorioqmnionitis

Question 9

Corticosteroids work in

Answer 9

24 hrs and lasts up to 2-7 days

Question 10

Tocolytics

Answer 10

Delay labour in order for steroids to work

Question 11

Indication to give tocolytics

Answer 11

<34 weeks
Cervix<6cm

Question 12

B agonist tocolytics

Answer 12

Ritodine adverse effect:pulmonary edema

Question 13

Ca blocker

Answer 13

Nifedipine 1st line

Question 14

Ca antagonist

Answer 14

Mgso4
A/E hypocalcemia

Question 15

Oxytocin antagonist

Answer 15

atosiban

Safest drug in cardiac illness

Question 16

Prostaglandin inhibitor

Answer 16

Indomethasin
A/E
NEC
IVH