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presence of contractions of
sufficient strength and
frequency to effect
progressive effacement and
dilation of the cervix between
20 and 37 weeks' gestation
WHO
Incidence : 6- 10%
Spontaneous : 40-50%
PROM : 25-40%
25%
Most mortality and
morbidity is
experienced by babies
born before 34 weeks.
Death
Respiratory distress syndrome
Hypothermia
Hypoglycaemia
Necrotising enterocolitis
Jaundice
Infection
Retinopathy of prematurity
Nifedipine = Epilate
Atosiban= Tractocile
Useof beta-agonists should
be restricted to the
management of preterm
labour between 20 and 35
completed weeks, including
women with ruptured
membranes. (Grade A)
RCOG Guideline Grade A recommendation 1997
There is insufficient evidence for any
firm conclusions about whether or
not maintenance tocolytic therapy
following threatened preterm labor
is worthwhile. Therefore
maintenance therapy cannot be
recommended for routine practice.