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PRETERM
definition
Regular uterine contractions followed
dilated and / or progressive cervical dilution in
pregnancy less than 37 weeks
etiology
a. Maternal Factors
Toksenia, hypertension, malnutrition / chronic
diseases, such as premature birth diabetes mellitus is
associated with conditions in which the uterus is
unable to withstand the fetus, for example at
premature separation, placental release and infarction
of the placenta
b. Fetal Factor
Chromosomal abnormalities (eg anthosomal trisomes)
multiple fetuses, radiation injury (Sacharin 1996)
Factors associated with premature birth:
a. Pregnancy
1) Uterine Malformation
2) Multiple pregnancy
3) IT. Incompetent Cervix
4) KPD
5) Pre eclampsia
6) History of premature birth
7) Rh disorders
b. Medical condition
1) Conditions that give rise to the preterm partus
a. Hypertension
b. The development of the fetus is inhibited
c. A placenta solution
d. Placenta previa
e. Rhesus abnormalities
f. Diabetes
2) Conditions that cause contraction
a. Uterine congenital abnormalities
b. Premature rupture of membranes
c. Incompetent cervix
d. Multiple pregnancy
c. Social Economics
• 1) No prenatal care
• 2) Low socioeconomic status
• 3) Mal nutrition
• 4) Teenage pregnancy
d. Lifestyle factors
• 1) Smoking habits
• 2) Weight gain during pregnancy is lacking
• 3) Drug abuse (cocaine)
• 4) Alcohol
signs of preterm delivery,