Gynaecology & Obs » Pregnancy, Labour

Threatening Premature Labour

The likelihood of premature labor becomes greater when several of the following signs can be identified: regular uterine contractions less than 10 minutes apart, painful contractions. ripe and at least 1-2 cm dilated cervix, shortened or effaced cervix, descent of the presenting part of the foetus to the spinous stage or even lower bulging of foetal membranes, and light bleeding. Management involves bed rest, atosiban single bolus injection of 6.75 mg over 1 min, the mother is transported to hospital in a lateral lying position, especially if the foetal membranes are ruptured and there is a risk of protrusion of the umbilical cord. Corticosteroids should be used to increase the synthesis of surfactant in foetal lungs on weeks 24-34 of pregnancy.

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