Preterm labour

8. • Preterm labor/parturition syndrome
• Is multifactorial process causing the uterus to change
from its state of quiescence to active contractions
• Etiology poorly understood , can be spontaneous or
induced/ iatrogenic
• Resulting in to cervical ripening , membranes activation
and uterine contractility
•
Membrane
activation
Cervical dilation
Uterine
contrac
tility

10. Activation of the fetal HPA axis

11. Multiple gestation, polyhydramnios

12. Inflammation and infection
Cervical incompetence /insufficiency

28. Preterm labor 26-36 wks
Establish and manage underlying
cause
Assess fetal condition
Deliver
mother
appropriately
If fetal distrs
refer to IU
resuscitation
protocol
Baby well less than 34
wks
Mother in latent labor to
4cm
Baby well more than 34
wks
Mother in Active labor 5
cm and above
Admit ,refer to cemonc
unit
Monitor and deliver in
active labor
28-34 wks ,tocolysis,
mgso4, IM dexa, abx
Manage labor and
delivery
Manage baby , preterm
babies protocol