Wednesday, June 15, 2011

Premature Birth - Treatment

Treatment for women in preterm labor, the fetus still in utero or premature infant.
For mothers
Treatment depends on the stage of pregnancy and the evolution of labor graders. In some cases, bed rest and drinking enough to stop premature contractions.Beanta In cases of uterine cervix (abnormal opening of the orifice of the cervix), perform a procedure called serclaj aims to prevent preterm birth. Serclajul cervix consists of applying a circular suture to raise the cervix. Sutures are removed in the last month of pregnancy.In other cases, drugs are preferred (terbutaline, magnesium sulfate), which relaxes smooth muscles, including those of the uterus. Can be used and drugs that block production of substances that stimulates uterine contractions (prostaglandins).
To Fetus
If there is a risk of premature birth, are adopted measures to prevent predictable complications in newborns, especially respiratory problems. Thus, corticosteroids (betamethasone or dexamethasone) to accelerate fetal lung maturation in a period of 24-48 hours. After the 34th week of gestation, steroids are no longer needed because fetal lung development is within limits of normality.
For the premature infant
There are two categories of preterm. Those born between the 35th and 36th week of pregnancy are relatively less likely to develop complications. In contrast, children born before the 35th week of pregnancy, weighing less than 2 kg should receive special care, being exposed to multiple complications.Premature generally kept in an incubator for newborn isolation and maintaining a normal body temperature. New baby without swallowing reflex will be powered by nasogastric tube. When it becomes strong enough, it can be put to the breast or bottle feeding.

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