| June 2005 · Vol. 17, No. 6 Case-Based Learning
Predicting and preventing preterm birth
Preterm delivery seems likely, and the nearest tertiary care nursery is 90 minutes away. What should you do?
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Fast Track
fFN and EVUSD separately and independently contribute to the prediction of preterm birth. I use both
I favor indomethacin. It is the most widely studied NSAID and has minimal side effects
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John
M.
Thorp
Jr,
MDMcallister Distinguished Professor of Obstetrics and Gynecology Division of Maternal-Fetal Medicine University of North Carolina School of Medicine,
Chapel Hill
Patricia’S Case
A 25-year-old primigravida with an intrauterine pregnancy at 26 weeks presents with contractions of moderate intensity every 4 minutes, intact membranes, and minimal vaginal bleeding. On digital exam, her cervix is soft, 50% effaced, and closed. Estimated fetal weight is 775 g.
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