Regular uterine contractions, cervical dilation over 2cm, increased pelvic pressure and vaginal discharge are signs of preterm labor. Investigations include CBC, urine analysis, cervical swabs and ultrasound. Prevention focuses on reducing risk factors through infection control and early screening/treatment. Management includes bed rest, oxygen, avoiding acceleration of labor, monitoring labor progress, and consideration of c-section for difficult vaginal deliveries. Complications of preterm birth include low birth weight, breathing issues, underdeveloped organs, vision problems and learning disabilities.

1. PRETERM LABOUR
Presented by,
Harshika Tembhurne
LOREM IPSUM DOLOR

2. Clinical Feature
1) Regular Uterine Contractions
2) Dialation of cervix more than 2cm
3) Increase pelvic pressure
4) Bachache
5) Vaginal descharge
6) Abdominal tightening
7) Bleeding

3. INVESTIGATION
1) CBC
2) Urine Routine Analysis
3) Endocervical swab for prevention organism
4) USG
5) serum electrolyte and glucose level

4. PREVENTION
1) Primary Prevention : is aim to reduce the incidance of
Preterm labour by reducing the high risk Factor
Eg. Infections
2) Secondary Prevention: Include screening test for the early
 Detection & prophylactic treatment
Eg tocolytic
3) Tertiary Prevention : Is aim to reduce perinatal mortality and
mobidity after investigation Eg. Steroids

5. MANAGEMENT
1) Judge the labour to when started, women experiences
painful
Uterine Contraction accompanied the bloody flow
2) The women put on bed
3) To prevent asphyxia which makes the neonate more
succeptible to Respiratory distress syndrome
4)To prevent birth trauma

6. 5) Oxygen is given by mask
6) Strong sedatives or acceleration of labour is to be
Avoided epidural analgesia is the best choice
7)Progress of labour should be monitored clinically
Or by electronic
8)In case of delay or anticipating a tedius traumatic Vaginal
Delivery its better to cesaren & Section

7. Management During Arrest of Preterm Labour
1) To Provide adequate rest to the women
2) Adequate Sedation: Diazepam 5mg or Phenobarbitone
30-60mg orally twice in a day
3) Adequate hydration is maintain
4)Antibiotic is given to prevent the infection

8. Complication
1) Low birth weight
2) breathing difficulties
3)underdeveloped organ
5) vision Problems
6) Learning disability

9. NAHT K