Premature labour; PPROM

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MRCOG: how to pass first time

prediction.

    Lac-test and prediction of risk of delivery within 48 hours after ?PPROM under 34 weeks

    ultrasound cervical assessment leads to more intervention but not better outcome

prevention.

    progesterone ineffective re premature delivery or FDIU < 34 weeks in twin pregnancy: the STOPPIT trial

    antibiotics & pre-term labour

treatment.

    steroids:

        MACS trial result: "No" to multiple courses of antenatal steroids

    tocolytics:

        good review of tocolytic drugs and their nasty side-effects

    other:

        magnesium sulphate & cerebral palsy risk in threatened premature labour

 

 

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