Vital Informations about Preterm Labor

Preterm labor is a labor occurring after 20th week but before 37th. It may cause fetal death if delivered low birth weight but there's a good chance of survival if delivered 35th weeks onwards.

Maternal Complications requiring delivery of preterm infants are:

1. placental separation with uncontrolled hemorrhage
2. severe pre-eclampsia or eclampsia
3. uncontrolled renal or CVD
4. premature rupture of membrane
5. chorioamnionitis

Main Nursing Diagnosis: Fear

Nursing Implications

• bed rest in less stimulating environment at latera recumbent position
• adequate hydration
• use of steroids to prevent respiratory distress syndrome for infants
• prepare for delivery
• administer tocolytic agents (vasodilan, ritodrine, terbutaline, magnesium sulfate) as ordered, but prepare calcium gluconate as an antidote for MgSO4 toxicity.
  

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