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Preterm Labour,[object Object]
Definition,[object Object],It is onset of labour before completed 37 weeks of pregnancy.,[object Object],Incidence-5-10%.,[object Object]
Aetiology,[object Object],Maternal causes,[object Object],Foetal causes,[object Object],Idiopathic.,[object Object]
Maternal causes,[object Object], 1. Medical disorders:,[object Object],                > Preeclampsia.,[object Object],                > Chronic nephritis.,[object Object],                > Anaemia and malnutrition.,[object Object], 2.Antepartum haemorrhage:,[object Object],                 > Placenta praevia.     ,[object Object],                 > Abruptioplacentae,[object Object],3. Uterine anomalies:,[object Object],                > Septate uterus.,[object Object],               > Incompetent cervix.                ,[object Object],              > Fibroid uterus.,[object Object], 4.Psychological or hormonal.,[object Object]
Foetal causes,[object Object],> Congenital anomalies.,[object Object], > Intrauterine foetal death.,[object Object],> Polyhydramnios.> Multiple pregnancy.,[object Object],> Rh-isoimmunization.,[object Object], > Premature rupture of membranes.,[object Object]
Risk of Prematurity,[object Object],Birth trauma: particularly intracranial haemorrhage which is aggravated by hypoprothrombinaemia and capillary fragility present in prematures.,[object Object]
Risk of Prematurity,[object Object],Birth trauma: particularly intracranial haemorrhage which is aggravated by hypoprothrombinaemia and capillary fragility present in prematures.,[object Object]
Respiratory distress syndrome (RDS):,[object Object],[object Object]
Dyspnoea and cyanosis develops 1-2 hours after delivery and death occurs after about 30 hours.,[object Object]
 Hypothermia as a result of,[object Object],a.Decreased heat production due to;,[object Object],  > reduced muscle activity and hypoglycaemia.,[object Object],b.Increased heat loss due to;,[object Object],   >large surface area relative to body weight,                     > lack of insulating fat,,[object Object],                > immaturity of the heat regulating center.,[object Object]
Preterm labour
Preterm labour
Preterm labour
Preterm labour
Preterm labour
Preterm labour

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Preterm labour

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