Singleton pregnancy woman GA 26 to 34 weeks presenting with preterm labor symptoms as premature contraction defined as regular uterine contractions more than4 times in 30 minute monitor by tocography, All woman will receive a transvaginal cervical length (TVCL) measurement and external fetal monitoring by cardiotocograph on admission. if TVCL less than 15mm the patient will be administered antenatal corticosteroid and tocolysis as they are at risk for preterm delivery. If TVCL more than 30
Conditions
Interventions
expectant group (no interventions for preterm), patient will be managed expectantly and followed up of cervical length will be done ,intervention group woman will be received tocolytics and antenatal
no treatment,intervention
Sponsors
None listed
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. singleton pregnancy, gestational age 26to 33+6 weeks of gestation 2. Admitted to labor and delivery unit due to signs and symptoms of preterm labor defined as more than 4 times in 30 minutes 3. Cervical dilated less than 2 cm and effacement less than 80% with intact membranes 2 4. Age more than 18 years, able to inform consent
Exclusion criteria
Exclusion criteria: 1. Preterm pre-labor ruptured of membranes 2. Multiple gestations 3. Non-reassuring fetal heart rate status at time of admission 4. Non-viable fetus 5. Lethal fetal anomaly 6. Active vaginal bleeding 7. Suspected cervical insufficiency treated by prophylactic cervical cerclage or ultrasound indicated cerclage 8. History of previous classical caesarean section 9. Suspected chorioamnionitis requiring delivery 10. Unstable maternal conditions such as sepsis, preeclampsia with severe feature, hypovolemic shock, hemodynamic unstability 11. Unable to inform consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Undeliver rate 7 days numbers of undelivered/total threatened preterm | — |
Secondary
| Measure | Time frame |
|---|---|
| Tocolytic use during treatment - 2 days Number of tocolytic use/total threaten preterm,gestational age at delivery at delivery days,Birthweight at delivery gram/weight | — |
Countries
Thailand
Contacts
Public ContactSupakorn Chaiyakarn
Ramathibodi hospital
Outcome results
None listed