Retained intrauterine device.
(9) Serious maternal disease. This refers to a systemic disease in the
mother, that when severe, may be due to serious hypoxia accompanying some
diseases such as pneumonia and diseases with high fever.
(10) Unknown causes.
c. Responses to Preterm Labor.
(1) Once preterm labor is diagnosed, the patient and her obstetrician must
decide if early delivery of the fetus is more advantageous for survival or is the fetus
remaining in utero more advantageous for survival.
Preterm labor is not interrupted if any of the following conditions are
(a) Labor is active and cervical dilation has progressed beyond 4 cm.
Gross fetal anomaly or anomalies is/are present.
(d) The fetus is already dead.
(e) There is fetal distress present.
(f) There are complications that contraindicate prolonging the
pregnancy (e.g., severe maternal hypertension, ruptured membranes, intrauterine
infection, and severe fetal intrauterine growth retardation).
d. Nursing Interventions When Preterm Delivery is Imminent.
Prepare for delivery if interventions to arrest preterm labor fail.
(2) Inform the expectants parents of changes in the status of care. Many
times the nature of emergencies in a labor and delivery area often allows time for brief
explanations. Whenever possible, expectant parents should be given thorough
explanations and emotional support.
Parents should not be left alone if possible.
Notify the nursery personnel and pediatrician when delivery is imminent.