Chapter 11- Preterm birth

  1. Preterm birth is assoc w:
    a. drug abuse
    b. cervical dilatation w/o contractions
    c. reduced fetal movements
    d. intracranial haemorrhage
    e. respiratory distress syndrome
    • a, b, d, e
    • b= cervical incompetence
  2. The management of preterm labour includes:
    a. accurate estimation of fetal gestational age
    b. administration of iv antibiotics
    c. administration of repeated courses of corticosteroids
    d. exclusion of parents in decision making, as this can be very stressful
    e. emergency cervical cerclage
    • a,
    • abx - no evidence of benefit for neonate
    • single course of corticosteroids
    • cervical cerclage is for cervical incompetence (not labour)
  3. Common risk factors for preterm prelabour rupture of membranes (PPROM) are:
    a. previous preterm birth
    b. oligohydramnios
    c. sexual intercourse
    d. cigarette smoking during pregnancy
    e. dyskaryosis on Pap smear
    • a, d
    • polyhydramnios
  4. The following may be part of the management of preterm PROM:
    a. intrauterine transfer if no neonatal beds are available
    b. administration of abx only if there are signs of infection
    c. counselling
    d. use of corticosteroids
    e. expectant managment
    • c,d,e
    • always administer abx
    • <34wks - prolong preg
    • expectant managment- hospitalisation, cortocosteroids, abx
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Chapter 11- Preterm birth