Module 3. C. Assignments Requirements Four Phases of Health Care

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PRETERM LABOR

Signs and Symptoms of Preterm Labor

 Mild abdominal cramps, with or without diarrhea


 A change in type of vaginal discharge—watery, bloody, or with mucus
 An increase in the amount of discharge
 Pelvic or lower abdominal pressure
 Constant, low, dull backache
 Regular or frequent contractions or uterine tightening, often painless
 Ruptured membranes (your water breaks with a gush or a trickle of fluid)

Cause of Preterm Labor


The cause is unknown in most women. Known causes of preterm labor are:

 Infections
 Vaginal bleeding
 Hormone changes
 Stretching of the uterus. This might be from being pregnant with more than 1 baby, a large baby, or too much amniotic fluid.

Risk for Preterm Labor


Most women who have preterm labor have no known risk factors. But some things raise a woman's risk for preterm labor.
These include:

 Smoking
 Being under 20 years or over 35 years old
 Long-term illness such as heart disease or kidney disease
 Using illegal drugs such as cocaine
 Abnormally shaped uterus
 Cervix not able to stay closed
 Stress
 Having a preterm birth in the past
 Being African American
 Placenta that separates from the uterus early
 Placenta in an abnormal position
 Placenta that does not work as well as it should
 Early breaking of sac around the baby (premature rupture of membranes)
 Birth defects in the baby
 Problems with fetal growth
 More than 1 baby in the womb

Management

The obstetric care provider will manage preterm labor based on what he or she thinks is best for your health and the fetus’s
health. If the fetus would benefit from a delay in delivery, medications may be given to:

 Help the organs mature more quickly


 Reduce the risk of certain complications
 Attempt to delay delivery for a short time

Treatment
 Bed rest. 
This can be done either at home or in the hospital
 Tocolytic medicines. 
These help slow or stop contractions. They may be given as a shot (injection) or into the vein (intravenously).
 Corticosteroids. 
These may help the lungs of your baby grow and mature. Preterm babies’ lungs may not be able to work on their own.
 Cervical cerclage. 
This procedure is used to stitch the cervix closed. It may be done when the cervix is weak and not able to stay closed.
 Antibiotics. 
These are used to treat infection
 Delivery of the baby. 
Your provider will deliver your baby if treatments do not stop preterm labor or if you or your baby is in danger. You may
need a cesarean delivery.
Complication of Health Promotion Health Maintenance Health Restoration Health Rehabilitation
Pregnancy
PRETERM LABOR Teaching the women, Encourage prepartum Provide support to a Encouraging prepartum
especially the women for healthy prepartum during at risks to continue with
prepartum what the lifestyle and prenatal diagnosis and monitor. the treatment as well as
preterm labor is, visits. Instruct to be the medications
possible causes and aware of any signs and prescribed by a
how it could affect both symptoms of preterm healthcare provider.
her and the child. labor for early referral
to healthcare providers.

ACOG. Preterm labor and birth. Retrieved from https://www.acog.org/patient-resources/faqs/labor-delivery-and-postpartum-


care/preterm-labor-and-birth

Stanford Children’s Health. Preterm labor. Retrieved from https://www.stanfordchildrens.org/en/topic/default?id=preterm-labor-


90-P02497

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