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12 Cards in this Set
- Front
- Back
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Other risk factors for preterm labor and birth
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stress
long commute to work long working hours inability to rest uterine irritability progesterone deficiency |
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FFN
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Fetal Fibronectin
increased levels in cervical or vaginal secretions immediately proceed normal onset of labor should NOT be measurable between weeks 18-36 Better at predicting who will NOT go into labor |
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Signs of preterm albor and birthe
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pelvic pressure
low dull backache menstual-like cramps change or increase in vaginal discharge uterine contractions atleast q10 min intestinal cramping with or without diarrhea urinary frequency ROM |
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Treating preterm labor
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prevention
lifestyle modification suppresion of uterine activity promotion of fetal lung maturity |
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tocolytics
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aim to hold off atleast 24 hours
magnesium sulfate NSAIDS |
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promotion of fetal lung maturity
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glucocorticoids- increase surfactant production
2 injections 12 hr apart ventrogluteal |
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PROM
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premature rupture of membranes
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SROM
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spontaneous ROM
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AROM
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Artificial ROM
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major concerns of PROM
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infection and preterm birth
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management of PROM
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confirm with nitrazine swab or ferning test
initiate labor with pitocin 2 doses of broad spectrum antibiotic between 26 &32 weeks, will try to delay delivery observes signs of infection |
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Nitrazine swab positive ROM
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turns purple
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