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Chapter 7 - Preterm Labor

from Section 1 - Obstetric Aspects of Antenatal Care

Published online by Cambridge University Press:  23 February 2023

By
Jessica Papillon-Smith  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During your obstetric call duty in a tertiary hospital center, you receive a telephone call from a colleague on call duty at a community hospital center where a 34-year-old G3P2 presented with uterine contractions at 27 weeks’ gestation.

Keywords

Prenatal historyRisk factorsPhysical examinationInvestigationsSafe patient transferTocolysisAntibioticsFetal pulmonary corticosteroidsMagnesium sulfate neuroprotectionPreterm premature rupture of membranesUmbilical cord prolapseDelayed cord clamping
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 83 - 95
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins – Obstetrics. Prediction and prevention of spontaneous preterm birth: ACOG Practice Bulletin, No. 234. Obstet Gynecol. 2021;138(2):e65–e90.CrossRefGoogle Scholar
Bachnas, MA, Akbar, MIA, Dachlan, EG, et al. The role of magnesium sulfate (MgSO4) in fetal neuroprotection. J Matern Fetal Neonatal Med. 2021;34(6):966–978.CrossRefGoogle ScholarPubMed
Committee on Obstetric Practice. Committee Opinion No. 713: Antenatal corticosteroid therapy for fetal maturation. Obstet Gynecol. 2017;130(2):e102–e109.CrossRefGoogle Scholar
Committee Opinion No. 455: Magnesium sulfate before anticipated preterm birth for neuroprotection. Obstet Gynecol. 2010;115(3):669–671.CrossRefGoogle Scholar
Di Renzo, GC, Cabero Roura, L, Facchinetti, F, et al. Preterm labor and birth management: recommendations from the European Association of Perinatal Medicine. J Matern Fetal Neonatal Med. 2017;30(17):2011–2030.CrossRefGoogle ScholarPubMed
Jain, V, McDonald, SD, Mundle, WR, et al. Guideline No. 398: Progesterone for prevention of spontaneous preterm birth. J Obstet Gynaecol Can. 2020;42(6):806–812.CrossRefGoogle ScholarPubMed
Magee, LA, De Silva, DA, Sawchuck, D, et al. No. 376 – magnesium sulphate for fetal neuroprotection. J Obstet Gynaecol Can. 2019;41(4):505–522.CrossRefGoogle ScholarPubMed
McGoldrick, E, Stewart, F, Parker, R, et al. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev. 2020;12(12):CD004454.Google ScholarPubMed
Medley, N, Poljak, B, Mammarella, S, et al. Clinical guidelines for prevention and management of preterm birth: a systematic review. BJOG. 2018;125(11):1361–1369.CrossRefGoogle ScholarPubMed
(a) National Institute for Health and Care Excellence. Diagnostic guidance on biomarker tests to help diagnose preterm labour in women with intact membranes. NICE Guidance NG33, July 4, 2018. Available at www.nice.org.uk/guidance/dg33. Accessed July 19, 2021.Google Scholar
National Institute for Health and Care Excellence. Preterm labour and birth. NICE Guidance NG25, November 20, 2015, last updated August 2, 2019. Available at www.nice.org.uk/guidance/ng25?unlid=9291036072016213201257. Accessed July 10, 2021.Google Scholar
National Institute for Health and Care Excellence. Preterm labour and birth overview; NICE Pathways. Last updated April 20, 2021. Available at https://pathways.nice.org.uk/pathways/preterm-labour-and-birth. Accessed July 10, 2021.Google Scholar
Prelabor rupture of membranes: ACOG Practice Bulletin, No. 217. Obstet Gynecol. 2020;135(3):e80–e97.CrossRefGoogle Scholar
Reddy, UM, Deshmukh, U, Dude, A, et al. Society for Maternal-Fetal Medicine Consult Series No. 58: Use of antenatal corticosteroids for individuals at risk for late preterm delivery: replaces SMFM Statement No. 4, implementation of the use of antenatal corticosteroids in the late preterm birth period in women at risk for preterm delivery. Am J Obstet Gynecol. 2021;S0002–9378(21):00859–0.Google Scholar
Royal College of Obstetricians and Gynaecologists. Umbilical cord prolapse. Green-Top Guideline No. 50, November 2014. Available at www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg50/. Accessed October 8, 2021.Google Scholar
SMFM preterm birth toolkit. Available at www.smfm.org/publications/231-smfm-preterm-birth-toolkit. Accessed July 10, 2021.Google Scholar
Skoll, A, Boutin, A, Bujold, E, et al. No. 364 – antenatal corticosteroid therapy for improving neonatal outcomes. J Obstet Gynaecol Can. 2018;40(9):1219–1239.CrossRefGoogle ScholarPubMed
Society for Maternal-Fetal Medicine (SMFM) Publications Committee. The choice of progestogen for the prevention of preterm birth in women with singleton pregnancy and prior preterm birth. Am J Obstet Gynecol. 2017;216(3):B11–B13.CrossRefGoogle Scholar
Tchirikov, M, Schlabritz-Loutsevitch, N, Maher, J, et al. Mid-trimester preterm premature rupture of membranes (PPROM): etiology, diagnosis, classification, international recommendations of treatment options and outcome. J Perinat Med. 2018;46(5):465–488.CrossRefGoogle ScholarPubMed
Thomson, AJ; Royal College of Obstetricians and Gynaecologists. Care of women presenting with suspected preterm prelabour rupture of membranes from 24+0 weeks of gestation: Green-Top Guideline No. 73. BJOG. 2019;126(9):e152–e166.CrossRefGoogle Scholar
Tsakiridis, I, Mamopoulos, A, Athanasiadis, A, et al. Antenatal corticosteroids and magnesium sulfate for improved preterm neonatal outcomes: a review of guidelines. Obstet Gynecol Surv. 2020;75(5):298–307.Google Scholar
Tsakiridis, I, Mamopoulos, A, Chalkia-Prapa, EM, et al. Preterm premature rupture of membranes: a review of 3 national guidelines. Obstet Gynecol Surv. 2018;73(6):368–375.CrossRefGoogle ScholarPubMed
WHO recommendations on interventions to improve preterm birth outcomes, 2015. Available at www.who.int/reproductivehealth/publications/maternal_perinatal_health/preterm-birth-guideline/en/. Accessed October 5, 2021.Google Scholar
Yudin, MH, van Schalkwyk, J, Van Eyk, N. No. 233 – antibiotic therapy in preterm premature rupture of the membranes. J Obstet Gynaecol Can. 2017;39(9):e207–e212.CrossRefGoogle ScholarPubMed

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