Скачать или смотреть 16.Preterm Labour in OBG | Definition, Risk Factors, Management & Role of Nurse | NN4U

In this video, we explain Preterm Labour in a simple, clear, and exam-focused manner.
This topic is very important for OBG Nursing, Midwifery, and Community Health Nursing, and is frequently asked in B.Sc Nursing & GNM examinations.


1. Definition of Preterm Labour

Preterm labour is the onset of labour pains with cervical changes before 37 completed weeks of gestation, leading to preterm birth.


2. Types of Preterm Labour

Spontaneous preterm labour
Induced (iatrogenic) preterm labour


3. Causes of Preterm Labour

Infections
Multiple pregnancy
Uterine overdistension
Cervical incompetence
Placental abnormalities
Maternal medical disorders


4. High-Risk Factors of Preterm Labour

Previous history of preterm birth
Maternal age below 18 or above 35
Anemia and malnutrition
Hypertension and diabetes
Smoking and substance abuse
Stress and heavy physical work


5. Signs and Symptoms of Preterm Labour

Regular uterine contractions
Low back pain
Pelvic pressure
Vaginal spotting or discharge
Cervical dilatation and effacement


6. Investigations of Preterm Labour

Ultrasound for cervical length
Vaginal examination
Fetal monitoring
Urine and vaginal culture tests


7. Management & Prevention of Preterm Labour

Bed rest
Hydration
Tocolytic drugs
Corticosteroids for fetal lung maturity
Antibiotics if infection is present
Regular antenatal follow-up


8. Nursing Management of Preterm Labour

✔ Monitor uterine contractions and fetal heart rate
✔ Assess cervical changes and vaginal bleeding
✔ Maintain bed rest in left lateral position
✔ Administer prescribed medications safely
✔ Monitor maternal vital signs
✔ Provide emotional and psychological support
✔ Educate mother about warning signs
✔ Prepare for neonatal care if preterm delivery occurs


9. Complications of Preterm Labour

Preterm birth
Low birth weight baby
Respiratory distress syndrome
Neonatal morbidity and mortality

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