Abstract

Introduction: ‘Preterm or Premature Birth’ is defined as birth occurring before completion of 37 weeks or 259 days since the first day of the last menstrual period of the mother. Every year, an estimated 15 million babies (more than one in ten births) are born preterm worldwide, and this number is rising. In Sri Lanka, approximately 24,500 babies are born prematurely each year. Efforts by obstetricians and neonatologists have led to significant advances in reducing preterm birth and improving outcomes.

Highlights

  • DEFINITION AND PREVALENCE ‘Preterm or Premature Birth’ is defined as birth occurring before completion of 37 weeks or 259 days since the first day of the last menstrual period of the mother.[1]

  • More than one-third are due to preterm births[4], making it the leading cause of neonatal death in Sri Lanka as well

  • Preterm labour is diagnosed when a mother with less than 37 completed weeks of the gestational period has regular uterine contractions that are followed by progressive cervical dilation and effacement

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Summary

INTRODUCTION

DEFINITION AND PREVALENCE ‘Preterm or Premature Birth’ is defined as birth occurring before completion of 37 weeks or 259 days since the first day of the last menstrual period of the mother.[1] Every year, an estimated 15 million babies (more than one in ten births) are born preterm worldwide, and this number is rising.[2] In Sri Lanka, approximately 24,500 babies are born prematurely each year.[3] Efforts by obstetricians and neonatologists have led to significant advances in reducing preterm birth and improving outcomes

THE BURDEN OF PRETERM BIRTH
PREVENTION OF PRETERM BIRTH
PRECONCEPTION CARE
Hearing impairment
ANTENATAL CARE
REDUCING MULTIPLE PREGNANCIES
REDUCING MATERNAL INFECTIONS
OPTIMIZING TREATMENT OF MEDICAL DISORDERS
CERVICAL LENGTH SCREENING AND CERCLAGE
PROGESTERONE PROPHYLAXIS
CERVICAL PESSARY
CERVICAL CERCLAGE OR PROGESTERONE?
EVALUATION OF PATIENTS WITH PRETERM LABOUR
ANTENATAL CORTICOSTEROID THERAPY
RESCUE CERVICAL CERCLAGE
MAGNESIUM SULPHATE
ANTENATAL AND INTRAPARTUM FOETAL MONITORING
MODE OF BIRTH AND TIMING OF CORD CLAMPING
PRACTICE POINTS AND RECOMMENDATIONS

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