Management of Labor. Monitoring and Management of Prodromal Preterm Labor Algorithm.

[See Management of Critical Event algorithm]

Download a printable copy in PDF format.

Source: Institute for Clinical Systems Improvement (ICSI). Management of labor. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Mar. 72 p. Management of Labor Monitoring and Management of Prodromal Preterm Labor Algorithm Cervix less than 70% effaced, less than 2 cm dilated, 0 station contractions greater than or equal to 6 per hour. A A = Annotation Cervical change? See Management of Critical Event algorithm Bedrest and pelvic rest for 48 hours and administer betamethasone if high risk for preterm delivery and 23-34 weeks. A Consider transvaginal sonogram (if available) for cervical length. A Fetal fibronectin (fFN) positive and/or cervical length greater than 25 mm? Continue intensive (at least weekly) follow-up until 34 weeks plus 6 days. *Consider betamethasone (23-34 weeks). A Continue monitoring fFN. A Cervical change? At 36 plus weeks, preterm or at term delivery Persistent signs / symptoms of prodromal labor? Cervical change? See Management of Critical Event algorithm See ICSI Routine Prenatal guideline See Management of Critical Event algorithm All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.