Obstetric And Gynecological Nursing -Clinical Features, Investigation , Management.

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