Tuesday 26 July 2016

Premature labour PGI MCQ


Premature labour

A. Is associated with an increased risk of breech presentation
B. Is associated with uterine anomaly
C. Asymptomatic bacteruria is a proven risk factor
D. Is associated with genital tract infection
E. Is associated with cigarette smoking



The answer is. A,B,C,D,E
Preterm labor is defined as occurring before 37 weeks ofgestation.It is the major cause of neonatal mortality indeveloped countries.
Causes
·   Maternal Age less than 18 or more than 35 years
·   Previous induced abortions
·   Women with a low BMI
·   Women with a previous preterm birth
·   Multiple pregnancies
·   Maternal medical conditions such as high blood pressurepre-eclampsia,maternal diabetes, asthma, thyroiddisease, and heart disease
·   Cervical incompetence or short cervix
·   Uterine malformations
·   Placenta previa or placental abruption
·   Premature rupture of membranes
·   Abnormal amounts of amniotic fluid – Polyhydramniosor Oligohydramnios
·   Mental status of the women - Anxiety,Depression
·   Use of tobacco, cocaine, and excessive alcohol duringpregnancy

·   Infection - Bacterial vaginosis,pyelonephritis,asymptomatic bacteriuria, pneumonia, and appendicitis