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    Advance Seminar 2 2017

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    shreyas
    Preterm labor is defined as labor occurring before 37 weeks of pregnancy counting from the last menstrual period. It can be caused by complications in previous pregnancies, infections, cervical insufficiency, or idiopathically. Symptoms may include contractions, back pain, pressure, cramps, bleeding, and changes in discharge. Management focuses on preventing asphyxia and birth trauma through bed rest, monitoring, gentle delivery, and immediate newborn care by a neonatologist.

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    Advance Seminar 2 2017

    Uploaded by

    shreyas
    36 views23 pages
    Preterm labor is defined as labor occurring before 37 weeks of pregnancy counting from the last menstrual period. It can be caused by complications in previous pregnancies, infections, cervical insufficiency, or idiopathically. Symptoms may include contractions, back pain, pressure, cramps, bleeding, and changes in discharge. Management focuses on preventing asphyxia and birth trauma through bed rest, monitoring, gentle delivery, and immediate newborn care by a neonatologist.

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    Preterm labor is defined as labor occurring before 37 weeks of pregnancy counting from the last menstrual period. It can be caused by complications in previous pregnancies, infections, cervical insufficiency, or idiopathically. Symptoms may include contractions, back pain, pressure, cramps, bleeding, and changes in discharge. Management focuses on preventing asphyxia and birth trauma through bed rest, monitoring, gentle delivery, and immediate newborn care by a neonatologist.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    36 views23 pages

    Advance Seminar 2 2017

    Uploaded by

    shreyas
    Preterm labor is defined as labor occurring before 37 weeks of pregnancy counting from the last menstrual period. It can be caused by complications in previous pregnancies, infections, cervical insufficiency, or idiopathically. Symptoms may include contractions, back pain, pressure, cramps, bleeding, and changes in discharge. Management focuses on preventing asphyxia and birth trauma through bed rest, monitoring, gentle delivery, and immediate newborn care by a neonatologist.

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    It is defined as labor occurring before

    compeletion of 37th weeks of pregnancy


    counting from last menstrual period.
     History.
     Complications in prevoius pregnancy.
    - Maternal.
    - Fetal.
    - Placental.
    - Idiopathic.
     Presentation of the woman.
     Regular or frequent contractions — a tightening
    sensation in the abdomen
     Constant low, dull backache
     A sensation of pelvic or lower abdominal pressure
     Mild abdominal cramps
     Diarrhea
     Vaginal spotting or bleeding
     Watery vaginal discharge (water breaking) — in a gush or
    a trickle
     A change in vaginal discharge.
     Full blood count.
     Urine for routine analysis.
     Endocervical swab for any causative organisms.
     Ultrasonography.
     Serum electrolyte and glucose level ( when tocolytic
    agents are used ).
     Low birth weight
     Breathing difficulties
     Underdeveloped organs
     Vision problems.
     Children who are born prematurely also have a higher
    risk of learning disabilities.
     Identifications of risk factors.
     Premature effacement of cervix
     Close observation
     Confirming the gestational age
     The principles in the management of preterm labor are –

    1. To Prevent asphyxia.

    2. To prevent birth trauma.


     Bed rest.

     Oxygen administration by mask.

     Monitor progress of labor.


     Gentle and slow delivery.

     Episiotomy.

     Immediate cord clamping.

     Baby under observation of neonatalogist.


    Spontaneous rupture of membranes any time
    beyond 28th week of pregnancy
     Idiopathic.
     Increase friability of membranes.
     Decrease tensile strength of membranes.
     Polyhydarmnios.
     Multiple pregnancy.
     Cervical incompetence.
     Infection.
     Painless gush of fluid that leaks out of the vagina.
    Sometimes women notice a steady leakage of small
    amounts of watery fluid.
     Other symptoms include -
    Change in color and consistency of fluid.
    Flecks of meconium in the fluid.
    Decrease in the size of the uterus.
    The WHO defines fetal death as death prior to complete
    expulsion or extraction from the mother, regardless of the
    duration of pregnancy.
     Pregnancy complications
    1. Pre-eclampsia.
    2. Antepartum hemorrhage.
     Pre-existing medical diseases.
    1. Chronic hypertension
    2. Diabetes
    3. Chronic nephritis
    4. Syphilis
    5. Hyperpyrexia
    6. Severe anemia
     Fetal causes
    1. Congenital malformation.
    2. Rh-incompatibility.
    3. Postmaturity.
     Latrogenic.
     Idiopathic
     Absence of fetal movements.

     Diminished uterine tone.

     Retogression of breast.

     Gradual Retogression of height of uterus.

     Eggshell cracking of fetal head.


     Ultrasonography.

     X – ray.
     Extreme psychological upset of the woman

     Infection

     Blood coagulation disorder.

     During labor
     Prenatal care and monitoring.

     Screening the “ at risk mother’’.

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