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Obstetrics: multiple pregnancy, preterm labor, PROM, IUGR

Obstetrics and Gynecology · MBBS

Fetal development

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Travel week by week from fertilized egg to fetus.

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wk
1wk38wk

Study notes

A woman — 32 weeks, leaking; PPROM; steroids, antibiotics, watchful waiting. PPROM (preterm prelabor rupture — leaking — speculum — pooling; confirm — nitrazine/IGFBP: <34w — expectant — steroids — betamethasone, antibiotics — erythromycin, MgSO4 — neuroprotection; watch — infection — deliver if chorioamnionitis): preterm labor (<37w — tocolytics — nifedipine — steroids — delay delivery 48h). Multiple pregnancy (twins — monochorionic — TTTS — laser; dichorionic — growth discordance: scans — frequent; deliver — uncomplicated DC 37w, MC 36w). IUGR (<10th centile — causes — placental, maternal: Doppler — umbilical — absent/reversed — deliver; steroids). The leaking preterm is PPROM — steroids buy lung time.

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