Questions and Answers
What is the primary time frame for the occurrence of Pre-term Labour?
Which of the following is NOT considered a potential cause of Pre-term Labour?
What short-term morbidity is associated with Pre-term Labour?
Which maternal factor can increase the risk of Pre-term Labour?
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What is a potential long-term effect of Pre-term Labour on an infant's health?
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Which of the following is a risk factor related to socioeconomic status for Pre-term Labour?
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How does Pre-term Labour affect neonatal health?
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Study Notes
Definition of Pre-term Labour
- Pre-term Labour (PTL) occurs when uterine contractions and cervical changes happen between 24 and 37 weeks of gestation.
- Can be spontaneous or triggered by premature rupture of membranes or iatrogenic factors related to maternal or fetal causes.
- PTL significantly increases the risk of neonatal morbidity and mortality.
Causes of Pre-term Labour
- Infection: Includes chorioamnionitis and sub-clinical chorioamnionitis.
- Maternal Factors: Conditions such as pyrexia (fever) can trigger PTL.
- Uterine Factors: Cervical insufficiency is a primary uterine factor.
- Fetal Factors: Carrying multiples (twins, triplets) or conditions like polyhydramnios contributes to the risk.
- Placental Issues: Problems such as placenta previa or placental abruption are associated with increased PTL risk.
Impacts of Pre-term Labour on Perinatal Outcomes & Long-term Health
- Increased Perinatal Death: Higher likelihood of death shortly after birth.
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Increased Morbidity:
- Short-term complications: Respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, hypothermia, hypoglycemia, jaundice, and various infections.
- Long-term complications: Risks for developing cerebral palsy, vision loss, and hearing loss.
Management in Antenatal Care (ANC)
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History Taking: Identifying important risk factors through history is crucial.
- Previous occurrences of PTL.
- History of second-trimester miscarriage.
- Lifestyle factors such as smoking.
- Socioeconomic status indicators that may affect health.
- Consideration of maternal BMI levels.
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Description
This quiz covers the definition and causes of pre-term labour, which occurs between 24 and 37 weeks of gestation. It discusses the implications for neonatal health and the various maternal and fetal factors that can contribute to this condition.
