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14 Cards in this Set
- Front
- Back
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Are IUGR, SGA, or LGA infants considered premature?
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No, none of them
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What is the definition of a preterm birth?
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infant born <37 weeks. Manifested by low birth weight (500-2499g), physical signs of immaturity and multisystem disorders
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The major cause of preterm birth is?
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preterm labor
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Its important to distinguish low birth weight from?
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prematurity
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Prematurity refectls gestations age, whereas low birth weight is based _____
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solely on weight less than 2500g
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what is the definition of preterm labor?
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regular contractions (2-4 per 10 min) with progressive cervical dilation and effacement at less than 37 weeks gestation
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what is the risk of recurrence of preterm infants?
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20-30%
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Most cases of preterm labor are?
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idiopathic
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what are the complications of preterm birth?
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small size, increased death, increased hearth dz, diabetes, stroke, inrased risks into adulthood
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what are the risk factors for premature delivery?
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smoking, dehydration, infection, BV, low socioeconomic status, age (<18 or >40), substance abuse, previous hx, incompetent cervix, uterine enlargement, African american, single, grand mutip, maternal dz
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what are some sx of premature labor to tell our patients to be aware of?
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1. pelvic pressure
2. menstrual-like cramping 3. low backache 4. increased vaginal discharge 5. increased frequency of urination 6. vaginal bleeding |
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how should we monitor a high risk patient for preterm labor?
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1. weekly cervical exams to detect subtle changes that may indicate onset of labor
2. external electronic fetal monitoring 3. ultrasound to assess age, fetal presentation, amniotic flluid volume, 4. Admit for cervical changes or uterine irritability with cramping |
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the goals of management of pregnancies at risk for preterm labor are:
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1. Therapy for preterm labor
2. Identification of high risk patients 3. Detection of disorders associated with preterm labor |
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how do we manage preterm labor? (10) *
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nnn
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