PRETERM LABOR AND PROM: - ANTHC

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DEFINITION OF <strong>PRETERM</strong> <strong>LABOR</strong> (Creasy and Gonik: AJOG 154:3, 1986) 1. GA 20-37 weeks plus 2. UC 4 in 20 min. or 8 in 60 min. plus 3 a. SROM or b. cx 2 cm dilate or c. cx 80% effaced or d. definite cx change (requires 1 + 2 + a or b or c or d)
PTL: MANAGEMENT BEDREST • No prospective RCT showing benefit • 4 twins studies: -(2) no benefit -(2) increase in PTB • Downside: -muscle weakness, osteoporosis, DVT -guilt, unemployment, marital, etc.
Page 1 and 2: PRETERM LABOR - CURRENT APPROACHES
Page 4: Categories of Preterm Births Indica
Page 11 and 12: TOCOLYTICS FOR PTL META-ANALYSIS -(
Page 13 and 14: BETA-MIMETICS SIDE EFFECTS MATERNAL
Page 15 and 16: TOCOLYTICS FOR PTL MgSO4 • Cochra
Page 17 and 18: TOCOLYTICS FOR PTL NIFEDIPINE Cochr
Page 19 and 20: Nifedipine Clinical Use • Nifedip
Page 21 and 22: Indomethacin - Side Effects • MAT
Page 23 and 24: Cost-Effectiveness of Tocolytics
Page 25 and 26: EFFECTS OF CORTICOSTEROIDS OXFORD D
Page 29 and 30: EFFECTS OF CORTICOSTEROIDS OXFORD D
Page 31 and 32: CORTICOSTEROIDS and INFECTION - Oxf
Page 33 and 34: Normal Pattern of Uterine Activity
Page 35 and 36: Normal Pattern of Uterine Activity
Page 37 and 38: Case #1 • 25 y/o G2P1 at 29 weeks
Page 43: Berghella, V., Contemporary OB/GYN,
Page 46 and 47: Cervical Length (24 - 28 WKS) Risk
Page 49: FETAL FIBRONECTIN WHAT IS IT? • e
Page 52 and 53: fFN in SYMPTOMATIC WOMEN PEACEMAN -
Page 54: Cervical Length + fFN in the triage
Page 58 and 59:
ANTIBIOTICS FOR PTL-EFFICACY RCT (N
Page 60 and 61:
ANTIBIOTICS FOR PPROM MATERNAL OUTC
Page 62 and 63:
ANTIBIOTICS AND PPROM • ORACLE I
Page 64 and 65:
ANTIBIOTICS AND PTL with Intact Mem
Page 67 and 68:
BACTERIAL VAGINOSIS AS A RISK FOR P
Page 69 and 70:
RCT of Metro and Erythro to Prevent
Page 71:
PREVENTING PTB: the future? 17a-OH-
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PRETERM LABOR AND PROM: - ANTHC

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