Complete Solutions
Early Onset of Labor
Preterm labor, premature rupture of membranes, and preterm
premature rupture of membranes
What is Preterm labor and birth?
uterine contractions and cervical changes that occur between 20
and 36 weeks and 6 days (before this is misscarraige) of
gestation. Preterm birth is the actual birth of the infant that
occurs in this time period.
very preterm labor
less than 32 weeks
moderately preterm labor
32-34 weeks of gestation
late preterm labor
34-36 weeks of gestation
What are the risk factors for preterm labor?
1.) infections of urinary tract or vagina, HIV, active herpes,
chorio
2.) PRIOR preterm birth
,3.) multifetal pregnancy
4.) oligohydramnios
5.) AMA
6.)hydramnios
7.) smoking
8.) substance abuse
9.) violence or abuse or physical trauma
10.) hx multuple misscarriages/abortions
11.) diabetes melitis
12.)chronic HTN
13.) preeclampsia
14.) lack of prenatal care
15.) recurrent premature dilation of cervix
16.) placenta previa or abruptio placenta
17.) PPROM
18.) uterine, cervix or placenta abnormalities
19.) 2nd trimester bleeding
20. Low pre-pregnancy weight/overweight
21.) lack of access to prenatal care
22.) congenital fetal anomolies
23.) heart disease
24.) kidney disease
25.) poor nutrition during/before pregnancy
26.) conceiving through in-vitro fertilization
27.) <6 mos between pregnancies
28.) psychological stress
, what is the most common cause of infant death worldwide?
preterm death
what is the time of viability for a fetus?
22-25 weeks
why is preterm labor dangerous and important to prevent from
happening?
34-37 weeks in the womb is crucial for healthy weight gain and
development brain and lungs (one of last organs to develop -->
ventilators)
1.) low birth weight/body fat
2.) not developed CNS - lack of reflexes for sucking and
swallowing leading to feeding difficulties
3.) lungs are NOT ready to breath on their own
4.) underdeveloped organs
5.) higher risk CP
6.) learning and physical disabilities
7.) abnormally pale or yellow
8.) difficulty with feeding
What should be done if a pregnant person has the signs and
symptoms of preterm labor?
focus on stopping uterine contractions.
1.) activity restriction - modified bed rest, lest lateral position to
increase blood flow, AVOID SEX