Preterm Labour

WHO is at MOST risk for preterm labour?

those w/ history of preterm labour

How does preterm labour manifest itself? (2 things)

(Hint: just like regular labour)

• Reg. uterine contractions

• cervical dilation/effacement

___________ ____________ is the dilation of the cervix in the ________ trimester.

cervical insuffiency; 2nd;

for the first pregnancy w/ cervical insuff. there is not much to do, BUT what happens w/ the SECOND pregnancy and Cervical insuff. happens again? What do providers do?

sew cervix shut until 37 weeks

What is the ONLY way to see cervical insuff.?

on an transvaginal ultrasound

What is the name of the dianostic test that find ur RISK of having a preterm labour? Hwo is this completed?

Fetal Fibronectin; vaginal swab

What is a GOOD result from the fetal Fibronectin?

NEGATIVE

Having a short ________ can ALSO put you at risk for preterm labour. What is considered the lenght for this? (answer in CM)

cervix; 2.5 cm

THE BEST way to PREVENT preterm labour is…..

prenatal education

What is the category of meds to STOP labour? What is the goal of this meds ultimately?

tocolytics; STOP labour to give betamethasone.

what are the 3 types of tocolytics used?

• magnesium sulfate

• procardia

• terbutaline

remember MAG prevents seizures in MOM as well as… and this called?

BABY;neuroprotection

What are the 3 signs of Magnesium toxicity?

• decreased RR

• Decreased DTR

• Decreased LOC

Remember, what is the side effects of terbutaline has patient?

TACHYCARDIA

Procardi/NifeDIPINE has what major side effect?

(hint: look @ the endding of the generic brand)

HYPOTENSION

What is betamethasone and why is it important to give at least doses in a ____ hour period while giving tocolytics?

A simulates lung maturity; 2; 24

PPROM stands for?

Preterm Premature Ruptore of MEMbranes

What is the NUMBER 1 thing we need to look out for if mom has a PPROM?

(Hint: same thing we check Q2 when mom gets her membranes ruptured artificially..)

INFECTION

What is the name of a common Infection that is associated w/ PPROM?

Chorioammionitis

Throwing up 1st trimester is normal, but puking so much it messes with your ELECTROLYTES/FLUID balance is called?

Which electrolyte is decreased?

Hyperemesis Gravidarum (hypokalemia)