preterm labour and premature rupture of membranes

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  • 1.Preterm LabourandPremature Rupture of Membranes
    • Date : 17.04.2009
  • Dr. Pradeep Kumar Garg
  • Assistant Professor
  • Department of Obstetrics and Gynaecology
  • All India Institute of Medical Sciences
  • New Delhi
  • Email:pkgarg_in2004@yahoo.com

2. Preterm Labour (PTL)

  • Definition
  • WHO : Regular contractions associated with cervical changes
    • 20 weeks of pregnancy
  • Incidence- 8-10%
    • 60% of all neonatal mortality
  • Threatened PTL- presence of uterine contractions in absence of cervical changes.

3. Definitions

  • Preterm (or premature) infant
    • Infant born before 37 completed weeks of gestation
  • Moderately preterm infant
    • Infant born between 32 and 36 completed weeks of gestation
  • Very preterm infant
    • Infant born before 32 completed weeks of gestation

4. Magnitude of the Problem

  • The infant mortality rate for very preterm infants (delivered < 32 weeks of gestation) isnearly 75 times the rate for infants born at term
  • 20% all infants born 3 flights of stairs without elevator Gain

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