Preterm Labor: In a Nutshell (Nursing)

by Jacquelyn McMillian-Bohler

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    00:01 So, in a nutshell, preterm labor is the onset of regular labor contractions leading to cervical change prior to 37 weeks.

    00:10 Risks factors for preterm labor include infection, previous abdominal surgery, cocaine use, periodontal disease, multiple gestation, stress, abnormal amniotic fluid levels, cervical trauma, vaginal bleeding, and of course, ethnicity.

    00:29 And remember, that's about racism and exposure to stress, rather than just differences.

    00:35 A cerclage or progesterone may be ordered to prevent preterm labor or birth.

    00:40 Fetal fibronectin or a cervical length test are ways that we can predict preterm birth.

    00:46 For a client who presents with preterm contractions, an OB history, membrane status, cervical dilation, fetal monitoring and labs may be ordered to check for signs of infection.

    00:58 Terbutaline and nifedipine, are tocolytics that may be given to stop or slow preterm labor contractions.

    01:06 Magnesium sulfate is a neuroprotectant that's given to the pregnant client to protect the fetus, and client should be monitored for signs of toxicity.

    01:15 And finally, corticosteroids may be given to the pregnant client before 34 weeks in order to increase fetal lung maturity and protect the newborn.

    01:26 All done.

    About the Lecture

    The lecture Preterm Labor: In a Nutshell (Nursing) by Jacquelyn McMillian-Bohler is from the course Preterm Labor (Nursing).

    Included Quiz Questions

    1. Cerclage
    2. Progesterone
    3. Nifedipine
    4. Estrogen
    5. Oxytocin

    Author of lecture Preterm Labor: In a Nutshell (Nursing)

     Jacquelyn McMillian-Bohler

    Jacquelyn McMillian-Bohler

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