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Chapter-04 Management: Where Are We Today?

BOOK TITLE: FOGSI FOCUS: Prevention of Preterm Labor

Author
1. Bindra Vimee
2. Khar Anuradha
3. Singh Kavita N
4. Acharya Neema
5. Pandey Uma
6. Pandey Seema
7. Singh Amreen
8. Esha Shaik M
9. Bora Neharika M
10. Solanki Paresh KR
11. Reddy Apoorva P
12. Kiran Abha
13. Mishra Sakshi
ISBN
9789352702299
DOI
10.5005/jp/books/18022_5
Edition
1/e
Publishing Year
2018
Pages
24
Author Affiliations
1. BEAMS Hospital, Hyderabad, Andhra Pradesh, India, Apollo Health City, Hyderabad, India, Apollo Health City, Apollo Cradle, Hyderabad, Telangana, India
2. Bangalore Assisted Conception Centre, Bengaluru, Karnataka, India, Bangalore Assisted Conception Center Bengaluru, Karnataka, India, Nurture IVF, Bangalore, Karnataka, India
3. Jabalpur, MP, India, NSCB Medical college, Jabalpur MP, NSCB Medical College, Jabalpur (MP), NSCB Medical College, Jabalpur, Madhya Pradesh, India, Jabalpur, Madhya Pradesh, India, Jabalpur, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India, NSCB Government Medical College, Jabalpur, Madhya Pradesh, Jabalpur (MP), Netaji Subhash Chandra Bose Government Medical College Jabalpur, Madhya Pradesh, India, Netaji Subhash Chandra Bose, Medical College, Jabalpur, Madhya Pradesh, India
4. Wardha, Agra, UP, India, Datta Meghe Institute of Medical, Sciences, Wardha, Maharashtra, India
5. Banaras Hindu University, Varanasi 221 005, UP, India, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
6. Seema Hospital, Atraulia, Azamgarh, Uttar Pradesh, India, Seema Hospital and Eva Fertility Clinic and IVF Centre, Azamgarh, Uttar Pradesh, India
7. Rainbow IVF, Agra, Uttar Pradesh, India
8. Apollo Cradle, Hyderabad, Telangana, India
9. Rainbow IVF, Agra, Uttar Pradesh, India
10. Harnish Hospital, Deesa, Gujarat, India
11. RM Matruthva Fertility Centre, Bangalore, Karnataka, India
12. Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India
13. Netaji Subhash Chandra Bose, Medical College, Jabalpur, Madhya Pradesh, India
Chapter keywords
Preterm labor, tocolysis, atosiban, antibiotic, progesterone, steroid, surgical management, preterm birth, PTB

Abstract

The aim of this chapter is to focus on the management of preterm labor. This chapter is divided into nine parts, which include can we prevent preterm labor, tocolysis in preterm labor, atosiban in preterm labor, role of antibiotics in preterm labor, progesterone in preterm labor, steroids in preterm labor, surgical management of preterm labor, lower segment cesarean section in preterm labor, and intrapartum management of preterm labor. Preterm birth (PTB) is defined as childbirth occurring at less than 37 completed weeks of gestation. Preterm labor (PTL) is defined as occurrence of regular uterine contractions (4 or more in 20 minutes or 8 or more in 60 minutes) and cervical effacement 1 cm in women with intact fetal membranes and gestational age <37 weeks. Tocolytics are pharmacological agents were first recognized for their ability to suppress uterine contractions in 1959, when Hall et al. observed the tocolytic effects of magnesium sulfate (Hall, et al., 1959). Atosiban is an oxytocin antagonist that has the nonapeptide structure of oxytocin.

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