Clinical management of preterm labor.docVIP

 PAGE \* MERGEFORMAT 8 Clinical management of preterm labor [Keywords:] premature treatment Preterm is less than 37 weeks of pregnancy over 28 full weeks (196 ~ 258 days) among those who said the premature birth. During this period the general weight of infants born less than 2500 g, immature organs, known as the premature child. Organs development is still not mature enough. preterm birth accounted for 5% of the total number to 15%. preterm children in about 15% in neonatal death. therapeutics recent years because of advances in preterm children, the survival rate was significantly improved. preterm birth mother by a series of related Infants and disorders caused by disease, and some have been clarified, and clarified the relationship between, and some still unknown reasons. 1 Clinical data 1.1 General information on preterm birth in recent years in our hospital patients with 554 patients, 554 patients in the oldest 42 years old, minimum 17-year-old, 28 to 37 weeks gestational age. 1.2 The clinical manifestations of the clinical manifestations are mainly premature uterine contractions in pregnant women may have late abortion, premature birth and birth trauma history, after the 28 weeks of gestation to 37 weeks before that, more regular contractions, the interval time of 5 to 6 minutes, duration 30 seconds, the rectal examination or vaginal examination revealed disappearance of the cervical canal, cervical dilation. some patients may be associated with a small amount of vaginal bleeding or vaginal water. 2 Treatment Therapeutic purposes is possible to postpone delivery and prolong gestation, to promote fetal organs (mainly the lungs, cardiovascular system) to mature. Who meet the following conditions should be continued pregnancy: fetal survival, non-distress performance, estimated their survival after birth capacity lower than the normal newborn and fetal membranes are not broken, cervical dilation less than 4cm, such as the c