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Preterm labor

labor complications

What s/s indicate patient is in preterm labor? Baby "balling up" Menstrual like cramps constant low back ache pelvic pressure pressure in thighs/ vulva Change or increase vag. discharge sense "feeling" bad
What is the Risk factors in preterm labor? Previous preterm history (BIGGEST) age ethnicity Medical risk factors - infection, PIH, Uterine over distention smoking alcoholics cocaine users
What testing is done with PTL? Fetal Fibronectin (FFN) - swab put in vagina screening 20-34 wks
medications to stop PTL Beta adrenergic agents: Terbutaline, Ritodrine Calcium channel blocker: Nifedipine Magnesium sulfate antibiotics corticosteroids: Betamethasone, Dexamethasone Progesterone
Top priority for mom safety Delay delivery for at least 48 hours
Top Nursing interventions for PTL Monitoring v/s measuring I&O continuous monitoring of FHR and
Created by: Jaycee420