PREVENTION OF PRETERM BIRTH[USING PROGESTERONE] скачать в хорошем качестве

PREVENTION OF PRETERM BIRTH[USING PROGESTERONE]

Preterm birth i.e. delivery less than 37/52,some choose less than 36/52 Pro-gestational (progesterone) Is good for preterm birth prevention But try to identify the cause e.g. Short cervix, chromosomal anomalies etc. Because not all preterm birth can use progesterone. Normally: Corpus luteum produces progesterone for maintenance of pregnancy from fertilization to 7-9/52 GA Placenta should be producing the progesterone beyond the above stage Progesterone keeps the fetus intact in the uterus by maintaining the uterine quiescence Functional activity will decline in uterus towards labor Prevents preterm rupture of membrane It can also alter the immune response Indications for progesterone supplementation to prevent preterm birth: A) Singleton pregnancy Normal cervical length Prior preterm birth (singleton) Give hydroxyprogesterone caproate 250 mg I.M. q 1/52 From 16/52 GA Continue until 36/52 GA Monitor cervical length if less than or equal to 25mm, give cerclage MORE INFO WHEN YOU LISTEN.