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PRETERM LABOR

  • Labor occurring after 20th week but before 37th.
  • May cause fetal death if delivered low birth weight from 35th week onwards, there's good chance of survival.
  • maternal complications requiring delivery of preterm infants are:
  1. Placental separation with uncontrolled hemorrhage
  2. Severe preeclampsia or eclampsia
  3. Uncontrolled renal or CVD
  4. Premature rupture of membrane
  5. Chorioamnionitis
  • Main nursing diagnosis: Fear
  • Nursing implications:
  1. Bed rest in less stimulating environment at lateral recumbent position
  2. Adequate hydration
  3. Use of steroids to prevent respiratory distress syndrome for infants
  4. Prepare for delivery
  5. Administer tocolytic agents ( Vasodilan, Ritodrine, Terbutaline, Magnesium sulfate) as ordered, but prepare calcium gluconate as an antidote for Mg SO4 toxicity.