Pre-term Labour PDF
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Uploaded by CutePathos
University of Pretoria
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Summary
This document provides an overview of pre-term labour, including its definition, causes, long-term impacts, and management during antenatal care (ANC). It covers risk factors and potential complications, such as respiratory distress syndrome and cerebral palsy.
Full Transcript
Pre-term Labour Sunday, 11 August 2024 14:10 Definition Pre-term Labour is Labour (uterine contractions and cervical changes) that begin between 24 weeks and 37 weeks of gestation. It can be spontaneous or preceded by premature rapture of membranes/ iatrogenic due to materna...
Pre-term Labour Sunday, 11 August 2024 14:10 Definition Pre-term Labour is Labour (uterine contractions and cervical changes) that begin between 24 weeks and 37 weeks of gestation. It can be spontaneous or preceded by premature rapture of membranes/ iatrogenic due to maternal or fetal causes. PTL increases the risk of neonatal morbidity and mortality. Causes Infection: chorioamnionitis and sub-clinical chorioamnionitis Maternal factors: Pyrexia Uterine factors: cervical insufficiency Fetal factors: Multiples, Polyhydramnios Placental: previa, abruption placentae Impacts of PTL on Perinatal Outcomes & Long-term Health Increased Perinatal death Increased morbidity ○ Short term: Respiratory distress syndrome, Intraventricular hemorrhage, Necrotizing enterocolitis, hypothermia, Hypoglycemia, Jaundice and infections. ○ Long term: Cerebral palsy, Vison and Hearing loss. Management in ANC Hx: Risk factors History may reveal important risk factors such as: ○ Previous PTL ○ Previous 2nd trimester miscarriage ○ Smoking ○ Poor socioeconomic status ○ Low BMI (
