Health Information
The Preterm delivery and tocolysis 早產安胎的注意事項
The Preterm delivery and tocolysis 早產安胎的注意事項
2024/1/31
Forwards
Preterm delivery happens during 20th ~ 36th gestational week. There is no obvious sign and the chance is 5 ~ 10 %.
Etiology
- 70 % ~ 80 % of the preterm delivery is unknown.
- Cervical insufficiency.
- Patients suffering from heart disease, retinopathy, diabetes, and preeclampsia.
- Traumas like a punch on the abdomen or accidental fall.
- Placenta previa or abruptio.
- Severe maternal diseases like infection.
- Uterine abnormality.
- Multiple pregnancy, polyhydramnios.
- Premature rupture of membranes.
- History of preterm delivery.
Clinical symptoms
- When there are 4 uterine contractions every 20 minutes or 6 contractions every hour; and more than 2 centimeters of dilated cervical or more than 80 % effaced cervical, it is the sign of preterm delivery and tocolysis. If there is increased frequency of uterine contraction, it is “premature uterine contraction”.
- Lower back pain or backache.
- Abdominal convulsion.
- Compression to the pelvis.( feeling fetus pushing downward )
- Increased or odor-changed vaginal discharge.
Treatment
A. Tocolysis agents
- To reduce the chance of preterm labor from happening, doctors often prescribe intravenous tocolysis medicine to ease and sooth uterus muscle.
- Do not panic if there are side effects of the tocolysis medications because they do not affect the baby: tachycardia, nausea, vomiting, constipation, palpitation, hyperglycemia, electrolyte imbalance, occasional pulmonary edema, and etc. Notify our medical staff for oxygen or take a rest or lie down when there are aforementioned side-effects.
- Doctors would prescribe intravenous antibiotics to reduce potential infection from happening.
- To reduce the incidence of newborn respiratory distress, doctors will inject steroid to accelerate fetus’ pulmonary maturity.
B. bed rest
The nursing measures
- Complete bed rest, either lie down on the bed or reclining on the bed.
- Do not move heavy objects to avoid over-exciting exercises because they could induce uterine contraction.
- Be aware of the symptoms of infection like elevated body temperature.
- If there is regulated uterine contraction, vaginal watery gushing, or increased vaginal bleeding, inform our medical staff immediately.
- Uterine contraction could be induced by constipation, eat fiber-rich food like fruit to prevent the problem.
- Return to the hospital for scheduled prenatal exam.
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HE-60026-E
電話:(04) 22052121 分機 12188
HE-60026-E
中國醫藥大學附設醫院暨體系院所