Labor preterm

Bacterial vaginosis is a risk factor for premature rupture of membranes, preterm labor, preterm birth, spontaneous abortion, and postpartum endometritis. 

The expected outcomes of die patient may include an optimal response to therapy, a reduction in anxiety, and an understanding of the treatment of preterm labor. 

If oral terbutaline is prescribed for preterm labor, die patient is instructed on use of die drug and adverse reactions to report (excessive tremor, nervousness, drowsiness, headache, nausea, dizziness). If contractions resume during oral dierapy, die patient is instructed to notify die primary healdi care provider if four to six contractions per hour occur. 

Develop a nursing care plan for Ms. Morris, a 28-year-old, woman who is admitted to the obstetric unit with premature labor during her third trimester. This is her second child, and die has had two miscarriages. She is prescribed ritodrine for preterm labor. Analyze what nursing diagnoses would have the highest priority. Discuss how you would explore and plan to meet her emotional needs. 

Mothers of preterm infants were also more likely than mothers of full-term infants to have obstetrical complications at the time of delivery. Eighty percent of mothers of preterm infants had three or more obstetrical complications. Possible complications included premature labor, oremature rupture of membranes, prolonged rupture of membranes, Caesarean section, chorioamnionitis, and marginal placenta abruption. In contrast, only one mother of a full-term infant developed obstetrical complications during the perinatal period. 

Recommend a pharmacotherapy regimen for preterm labor that will prolong time to delivery and enhance fetal lung development while minimizing maternal side effects. 

Bacterial vaginosis testing if symptomatic or at high risk (previous preterm labor)... 

Preterm labor. Onset of labor prior to 37 weeks gestation. Croup B Streptococcus. Diagnosed by positive culture on vaginal or rectal swab. 

Treat symptomatic trichomoniasis with oral metronidazole in order to alleviate maternal symptoms (Table 44—5). Do not treat asymptomatic disease. There is no evidence suggesting that treatment of asymptomatic disease will reduce the incidence of preterm labor or low birth weight, and systematic review suggests that this practice may even increase the incidence of preterm birth.40... 

Owing to the risk of preterm labor that is associated with gynecologic infections during pregnancy, pregnant women require follow-up objective testing for most of these infections. This includes 38... 

Reid G, Booking A The potential for probiotics to prevent bacterial vaginosis and preterm labor. Am J Obstet Gynecol 2003 189 1202-1208. 

A 22-year-old female carrying a preterm pregnancy (33 weeks) is in labor. Which of the following drugs can be given to the mother to promote fetal lung maturity ... 

The principal infecting organism is Escherichia coli, but Proteus mirabilis and Klebsiella pneumoniae account for some infections. Untreated bacteri-uria may result in pyelonephritis, preterm labor, preeclampsia, transient renal failure, and low birth weight. 

Preterm labor is labor that occurs before 37 weeks of gestation. 

Norepinephrine NE transporter Human cDNA Depression, Alzheimer s disease, epilepsy, anxiety, attention deficit hyperactivity, angina, asthma, cardiac arrhythmia, cardiac hypertrophy, congestive heart failure, myocardial ischemia, hypertension, artherosclerosis, narcolepsy, orthostatic hypotension, prostatic hyperplasia, rhinitis, diabetes, diarrhea, glaucoma, impotence, obesity, opiate withdrawal pain, Raynaud s disease, preterm labor pain Modulation of norepinephrine concentration in the neuronal synaptic clefts, neuroprotection... 

Extensive medicinal chemistry optimization of potency, selectivity pharmacokinetic, and pharmacodynamic properties finally led to potent, selective, and orally bioavailable GSK-221149A, which is synthesized as shown on Scheme 17 [35, 37, 38]. Peptidic oxytocin receptor antagonists are currently used to treat preterm labor, the main reason for infant death. The peptide derivatives by their nature are not orally bioavailable but must be administered i.v. Surprisingly, the peptide derivatives are less potent and less selective against several related receptors than GSK-221149A with half the molecular weight [39]. 

Gyetvai K, Hannah ME, Hodnett ED, Ohlsson A. Tocolyt-ics for preterm labor a systematic review. Obstet Gynecol 1999 94 869-77. 

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