OB Week 5: Labor and Birth Complications
1. preterm labor: contractions with change in cervix or dilation or regular contractions and dilations of 2cm
between 20-36.6 weeks
2. low birth weight: <2500g
3. Risk factors for pre-term labor: infection
african american
bleeding tendancy
history of preterm birth
multi-fetal gestation
substance abuse
under/over weight
periodontal disease
4. fetal fibronectin: in vagina in early and late pregnancy and may be related to placental inflammation
5. prevention of preterm labor: prevent risks
go to the dentist
prostaglandins
1/9
,6. early detection of preterm labor: transfer patient
administer antibiotics
betamethazone
magnesium sulfate
7. signs of birth: change in discharge
low back pain
abdominal pain
contractions
rupture of membranes
8. how to promote lung maturity: glucocorticoids
9. what to do if you think you're having preterm labor: lay on side, drink 2-3 glasses of water,
wait one hour and call the doc
10. if preterm labor is ongoing: activity restriction
hydration
tocolytics (mag sulfate, turbuline)
11. mag sulfate: suppresses CNS
2/9
, 12. turbuline: relaxes smooth muscle
stops uterine activity
bronchiodilation
13. indocin: relaxes uterine smooth muscles by inhibiting prostaglandins
14. procardia: relaxes muscle
blocks calcium
15. chorioaminionitis: bacterial infection of the amniotic cavity
usually begins after labor begins or after membranes rupture
16. chorio risk factors: long labor
a lot of vaginal exams
prolonged ruptured membranes
internal monitoring device
17. chorio outcomes: more likely to have dysfunctional labor
might need c-section
18. chorio neonatal risks: pneumonia
3/9
1. preterm labor: contractions with change in cervix or dilation or regular contractions and dilations of 2cm
between 20-36.6 weeks
2. low birth weight: <2500g
3. Risk factors for pre-term labor: infection
african american
bleeding tendancy
history of preterm birth
multi-fetal gestation
substance abuse
under/over weight
periodontal disease
4. fetal fibronectin: in vagina in early and late pregnancy and may be related to placental inflammation
5. prevention of preterm labor: prevent risks
go to the dentist
prostaglandins
1/9
,6. early detection of preterm labor: transfer patient
administer antibiotics
betamethazone
magnesium sulfate
7. signs of birth: change in discharge
low back pain
abdominal pain
contractions
rupture of membranes
8. how to promote lung maturity: glucocorticoids
9. what to do if you think you're having preterm labor: lay on side, drink 2-3 glasses of water,
wait one hour and call the doc
10. if preterm labor is ongoing: activity restriction
hydration
tocolytics (mag sulfate, turbuline)
11. mag sulfate: suppresses CNS
2/9
, 12. turbuline: relaxes smooth muscle
stops uterine activity
bronchiodilation
13. indocin: relaxes uterine smooth muscles by inhibiting prostaglandins
14. procardia: relaxes muscle
blocks calcium
15. chorioaminionitis: bacterial infection of the amniotic cavity
usually begins after labor begins or after membranes rupture
16. chorio risk factors: long labor
a lot of vaginal exams
prolonged ruptured membranes
internal monitoring device
17. chorio outcomes: more likely to have dysfunctional labor
might need c-section
18. chorio neonatal risks: pneumonia
3/9
