PRETERM LABOR D ONE BY\ Eman Salman Al- H assan King Faisal Universi ty College of medicine
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PRETERM LABOR
DONE BY\ Eman Salman Al-Hassan
King Faisal University
College of medicine
OBJECTIVES
-Evaluation of patients in preterm labor:History takingPhysical examination for women in possible preterm laborDiagnosis
-Management of preterm labor
HISTORY TAKING
1 .Uterine cramping or contractions2 .Rhythmic low back pain
3 .Pelvic pressure4 .Increased vaginal discharge
5 .Vaginal bleeding (bloody show), which may result from cervical dilation
Possible symptoms!
PHYSICAL EXAMINATIONS
Sterile speculum examination
Digital cervical examination
Urine culture
Fetal heart rate and uterine activity monitoring
Regular uterine contractions !! Progressive cervical change!!
DIAGNOSIS
Cervical length ultrasoundpositive predictive value of 55%
Fetal fibronectinThe positive predictive value of 25%
Case study
A 25-year-old pregnant woman with
G3P2 is admitted to your office at 28
weeks’ gestation with regular painful
uterine contractions every 3
minutes.
Preterm labor!! What is NEXT?
MANAGEMENT
BENEFITS!?
Tocolytic Medications
MEDICATIONS
RISKS!?
Magnesium Sulfate Beta-MimeticsRitodrine , Terbutaline
Indomethacin Ca-channel blockersnifedipine
MEDICATIONS
BENEFITS!?
Adjunctive therapy
RISKS!?
Corticosteroids Antibiotics
Magnesium sulfate
FETAL ASSESSMENT
1 .Ultrasound -fetal weight
- Fetal presentation2 .Fetal well-being
REFERANCES
FINALLY,.’
♥Thank you ♥
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