UNCONTROLLED WHEN PRINTED
Quick Chart
Introduction
  • Preterm refers to <37 weeks gestation
Clinical Presentation
  • Contractions
  • Abdominal Pain
  • Vaginal loss (mucous, blood, fluid)
  • Lower back pain
  • Pelvic pressure
Exclusion Criteria
Exclusion Criteria
Risk Assessment
  • Not all women presenting with preterm contractions will progress to actual labour and birth.
  • Extreme prematurity (<28 weeks) is a multifactorial condition associated with a high risk of serious illness or mortality.
  • If in doubt whether to initiate or withhold resuscitation, it is best to start until the situation is clarified later.
  • Premature infants are at risk of hypothermia, skin to skin contact is strongly recommended.
Management
Primary Care
  • Primary Survey
  • Offer continuous support and reassurance
  • Position patient appropriately (being mindful to avoid aortocaval compression)
  • Perform vital sign survey
  • Consider oxygen if indicated as per CPG
Intermediate Care (EMT / Level 2)
Advanced Care (AP)
Transport Decision
  • < 20 weeks – nearest/allocated ED
  • ≥ 20 weeks – obstetric unit
  • ALL pregnant patients suffering major trauma, follow Major Trauma Guideline
Critical & Extended Care (CCP, PSO)
  • As per Advanced Care (AP) guidelines
Additional Information
  • Liaise with Obstetrics unit in the metropolitan area, recording all advice given on ePCR
  • Liaise with local hospitals in country areas, recording all advice given on ePCR

References
References
Key Terms & Links
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Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Published Date

Review Date

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