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8 Cards in this Set

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What is the definition of preterm labor?
Gestation < 37weeks
Distinguish between true vs. false labor as well as preterm cervical dilation.
True: uterine contractions + cervical dilation

False: uterine contractions w/ NO changes in the cervix

preterm cervical change w/ No uterine contractions
This vaginal infection is associated with preterm labor.
Bacterial vagionosis (Clue cells, non-STD, fishy odor with KOH wet prep, vaginal discharge)
Greatest risk factor for preterm delivery?
Previous preterm birth with another child
How do infections affect preterm birth?
They increase the amount of PGE's present and PGE's induce uterine contractions
What is the role of steroids in preterm labor?
They help with the maturation of the lungs and decrease the risk of respiratory distress syndrome
What is the risk of having increased levels of fetal fibronectin?
If levels are elevated, this is a sign that there is increased risk of preterm delivery and the mom should be watched. Levels of this hormone are high at the beginning of pregnancy and then decrease but will increase again near delivery
What is the initial therapy for a mother in preterm labor?
IV fluid for hydration
Bed rest
Steroids (reduces the likelihood of respiratory distress)
Consider use of tocolytics