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what is the patient teaching for preterm labor?

what is the patient teaching for preterm labor?
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Answer #1

PRETERM LABOR

Preterm labor is defined as one where labor starts before 37th completed week counting from the first day of last menstrual period.

It can be due to the following:

  • Recurrent urinary tract infection
  • Smoking
  • Pregnancy induced hypertension
  • Genital tract infection
  • Uterine anomalies such as cervical incompetence,malformation of uterus.

Treatment

  • To prevent preterm onset of labor
  • Appropriate management
  • Corticosteroid should be given to the mother to prevent respiratory distress to new born
  • Antibiotics for infection

HEALTH EDUCATION ON PRE TERM LABOR

  • Provide teaching regarding preterm labor, its etiology etc.
  • Advice regarding the prevention of developing risk factors such as antibiotics for infection, diet and antihypertensive for PIH.
  • Advice the patient to do the screening test for early detection and prophylactic treatment such as tocolytics.
  • Advice to take corticostetoids for lung maturity of new born to prevent perinatal morbidity and mortality.
  • Investigation to assess the preterm labor full blood count, urine for routine analysis, culture and sensitivity, ultrasonography for fetal well being, placental localisation, serum electrolytes and glucose levels when tocolytic agents are to be used.
  • Advice to take adequate bed rest preferably left lateral position
  • Adequate hydration
  • Monitoring glucose level if corticosteroid is administered.
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