MBchB study guide

Apr 25th, 2015
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RMBH PROTOCOL ON PRETERM LABOUR.Definition: Regular contractions leading to progressive cervical dilatation at < 37 weeks gestation.Causes:(You'd be advised to arrange causes & risk factors as maternal, uterine, placental & fetal factors.)1. PROM2. Chorioamnionitis3. APH (Abruptio placentae)4. Cervical Incompetence5. Uterine anomaly6. Multiple pregnancy7. Fetal anomaly8. Iatrogenic; medically indicated induction of labour preterm e.g. Hypertension in pregnancy, DM type 2 (IDDM) & Non-reassuring fetal state. 9. E.t.cRisk factors:1. Prior preterm birth2. PROM in this pregnancy3. Cervical incompetence4. Advanced cervical dilatation5. 2nd trimester bleeding6. Extremes of maternal age7. GTIs & UTIs: Chorioamnionitis, Bacterial vaginosis, Bacteriuria, Cystitis, Pyelonephritis8. e.t.c9. Diagnosis:10. Symptoms:11. Menstrual-like cramps, Constant low backache, mild contrac

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