Preterm Labor Management: A Narrative Review

Madhusmita Nayak*
* Assistant Professor, SUM Nursing College, Siksha 'O' Anusandhan University, Bhubaneshwar, Orissa, India.
Periodicity:November - January'2019
DOI : https://doi.org/10.26634/jnur.8.4.14910

Abstract

Giving birth is a beautiful experience and greatest achievement for a woman. And also everything is needed to be accomplished in appropriate time to avoid consequences. As like in preterm labor, where the labor occurs before the 37th completed weeks is associated with various maternal and neonatal complications. As per statistics, about 28% of the neonatal death occurs due to preterm birth and the prevalence of preterm labor worldwide is around 11.5%. There are a lot many causes to it including preterm rupture of membranes (30%), urinary tract infections during pregnancy (35.8%), history of abortion (19.9%), and unplanned pregnancy (18.1%). But fortunately there are preventive measures like daily uterine activity monitoring, adequate bed rest and hydration, use of polar bear position, and vitamin C supplementation. If those fails, pharmacological treatment measures (tocolytics, Prostaglandin Inhibitors and Calcium Channel Blockers, Antibiotic therapy) can be used. However, the treatment and preventive measures is still a topic of debate. Also, nurses has a pivotal role in handling mothers with consequences.

Keywords

Preterm Labor, PROM, Tocolytics, Polar Bear Position

How to Cite this Article?

Nayak, M. (2019). Preterm Labor Management: A Narrative Review. i-manager's Journal on Nursing, 8(4), 46-52. https://doi.org/10.26634/jnur.8.4.14910

References

[1]. Arora, R. (2015). How to counteract preterm labor and preterm birth. Aetoseye-a safety kart initiative.
[3]. Boivin, A., Luo, Z. C., Audibert, F., Mâsse, B., Lefebvre, F., Tessier, R., & Nuyt, A. M. (2012). Pregnancy complications among women born preterm. CMAJ, 184(16), 1777-1784.
[4]. Derakhshi, B., Esmailnasab, N., Ghaderi, E., & Hemmatpour, S. (2014). Risk factor of preterm labor in the west of iran: A case-control study. Iranian Journal of Public Health, 43(4), 499-506.
[5]. do Carmo Leal, M., Esteves-Pereira, A. P., Nakamura-Pereira, M., Torres, J. A., Theme-Filha, M., Domingues, R. M. S. M., ... & Gama, S. G. (2016). Prevalence and risk factors related to preterm birth in Brazil. Reproductive Health, 13(3), 127.
[6]. Dutta, D. C. (2004). Textbook of Obstetrics, 6th Edition. New Central Book Agency Ltd.
[7]. Elliott, J. P., Miller, H. S., Coleman, S., Rhea, D., Abril, D., Hallbauer, K., ... & Stanziano, G. J. (2005). A randomized multicenter study to determine the efficacy of activity restriction for preterm labor management in patients testing negative for fetal fibronectin. Journal of Perinatology, 25(10), 626-630.
[8]. Ghomian, N., Hafizi, L., & Takhti, Z. (2013). The role of vitamin C in prevention of preterm premature rupture of membranes. Iranian Red Crescent Medical Journal, 15(2), 113.
[9]. Haas, D. M. (2006). Preterm Birth in Clinical Evidence. London: BMJ Publishing Group.
[10]. Haas, D. M., Caldwell, D. M., Kirkpatrick, P., McIntosh, J. J., & Welton, N. J. (2012). Tocolytic therapy for preterm delivery: Systematic review and network meta-analysis. BMJ, 345, e6226.
[12]. Hoffman, M. C., Mazzoni, S. E., Wagner, B. D., & Laudenslager, M. L. (2016). Measures of maternal stress and mood in relation to preterm birth. Obstetrics and Gynecology, 127(3), 545-552.
[13]. Katz, M., Goodyear, K., & Creasy, R. K. (1990). Early signs and symptoms of preterm labor. American Journal of Obstetrics and Gynecology, 162(5), 1150-1153.
[14]. Kiatsuda, D., Thinkhamrop, J., & Prasertcharoensuk, W. (2016). Success rate in preterm uterine contraction inhibition with tocolytic agents in a tertiary care center. International Journal of Women's Health, 8, 663-667.
[15]. Klauser, C. K., Briery, C. M., Martin, R. W., Langston, L., Magann, E. F., & Morrison, J. C. (2014). A comparison of three tocolytics for preterm labor: A randomized clinical trial. The Journal of Maternal-Fetal & Neonatal Medicine, 27(8), 801-806.
[16]. Lawn, J. E., Wilczynska-Ketende, K., & Cousens, S. N. (2006). Estimating the causes of 4 million neonatal deaths in the year 2000. International Journal of Epidemiology, 35(3), 706-718.
[18]. Pennell, C. E., Jacobsson, B., Williams, S. M., Buus, R. M., Muglia, L. J., Dolan, S. M., ... & PREBIC Genetics Working Group. (2007). Genetic epidemiologic studies of preterm birth: Guidelines for research. American Journal of Obstetrics and Gynecology, 196(2), 107-118.
[19]. Petrou, S. (2005). The economic consequences of preterm birth during the first 10 years of life. BJOG: An International Journal of Obstetrics and Gynaecology, 112, 10-15.
[20]. Petrou, S., Mehta, Z., Hockley, C., Cook-Mozaffari, P., Henderson, J., & Goldacre, M. (2003). The impact of preterm birth on hospital inpatient admissions and costs during the first 5 years of life. Pediatrics, 112(6 Pt 1), 1290-1297.
[21]. Roozbeh, N., Moradi, S., Soltani, S., Zolfizadeh, F., Hasani, M. T., & Yabandeh, A. P. (2016). Factors associated with preterm labor in Hormozgan province in 2013. Electronic Physician, 8(9), 2918-2923.
[22]. Rumbold, A., Ota, E., Hori, H., Miyazaki, C., & Crowther, C. A. (2015). Vitamin E supplementation in pregnancy. Cochrane Database of Systematic Reviews, 9.
[23]. Snijder, C. A., Brand, T., Jaddoe, V., Hofman, A., Mackenbach, J. P., Steegers, E. A., & Burdorf, A. (2012). Physically demanding work, fetal growth and the risk of adverse birth outcomes. The Generation R. Study. Occup. Environ. Med., 69(8), 543-550.
[24]. Sosa, C. G., Althabe, F., Belizán, J. M., & Bergel, E. (2015). Bed rest in singleton pregnancies for preventing preterm birth. Cochrane Database of Systematic Reviews, 3.
[25]. Stan, C. M., Boulvain, M., Pfister, R., & Hirsbrunner Almagbaly, P. (2013). Hydration for treatment of preterm labour. Cochrane Database of Systematic Reviews, 11.
[27]. Tellapragada, C., Eshwara, V. K., Bhat, P., Acharya, S., Kamath, A., Bhat, S., ... & Mukhopadhyay, C. (2016). Risk factors for preterm birth and low birth weight among pregnant Indian women: A hospital-based prospective study. Journal of Preventive Medicine and Public Health, 49(3), 165-175.
[29]. Urquhart, C., Currell, R., Harlow, F., & Callow, L. (2017). Home uterine monitoring for detecting preterm labour. Cochrane Database of Systematic Reviews, 2.
[30]. Vakilian, K., Ranjbaran, M., Khorsandi, M., Sharafkhani, N., & Khodadost, M. (2015). Prevalence of preterm labor in Iran: A systematic review and metaanalysis. International Journal of Reproductive BioMedicine, 13(12), 743-748.
[31]. Watson, D. L., Welch, R. A., Mariona, F. G., Lake, M. F., Knuppel, R. A., Martin, R. W., ... & Fleming, A. D. (1990). Management of preterm labor patients at home: Does daily uterine activity monitoring and nursing support make a difference? Obstetrics and Gynecology, 76(1 Suppl), 32S-35S.
If you have access to this article please login to view the article or kindly login to purchase the article

Purchase Instant Access

Single Article

North Americas,UK,
Middle East,Europe
India Rest of world
USD EUR INR USD-ROW
Online 15 15

Options for accessing this content:
  • If you would like institutional access to this content, please recommend the title to your librarian.
    Library Recommendation Form
  • If you already have i-manager's user account: Login above and proceed to purchase the article.
  • New Users: Please register, then proceed to purchase the article.