It is diycult to quantify the inci dence of spontaneous preterm labour, as many studies relating to preterm birth do not discriminate between spontaneous preterm. Pdf preterm labor and delivery continues to be one of the most serious problems in obstetrics, both medically and socioeconomically. Preterm labor is defined as regular uterine contractions, associated with. Optimal management of preterm labour is crucial in reducing the perinatal morbidity and mortality associated with premature delivery. The rate of preterm delivery before 37 weeks gestation has been declining since 2007. Pretrm is a early, noninvasive blood test that can predict the risk of your pregnancy resulting in a premature preterm birth. Pdf diagnosis and effective management of preterm labor. Its when your body starts getting ready for birth too early in your pregnancy. Management of preterm labour academy medicine of singapore.
Preterm labor risk factors include, but are not limited to previous premature birth, current multiple gestation, smoking, previous confirmed preterm labor during current pregnancy, andor shortened cervix. It aims to reduce the risks of preterm birth for the baby and describes treatments to prevent or delay early labour and birth. Diagnosis and management of preterm labor and birth. Identification and management of risk factors for preterm labor are not addressed in this document.
Clinical diagnosis of preterm labor is made if there are regular contractions and concomitant cervical. Who recommendations on interventions to improve preterm birth outcomes isbn 978 92 4 150898 8 for more information, please contact. In august 2019, we made new recommendations on prophylactic vaginal progesterone and prophylactic cervical cerclage for preterm labour and birth. Explain the management of preterm labour and preterm birth. Once preterm labor is confirmed, a single course of corticosteroids betamethasone or dexamethasone is the only intervention for improving neonatal outcomes.