RT Book, Section A1 Haselkorn, M. Lee A1 Rédai, Imre A2 Atchabahian, Arthur A2 Gupta, Ruchir SR Print(0) ID 57263498 T1 Chapter 192. Tocolysis T2 The Anesthesia Guide YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176049-2 LK accessanesthesiology.mhmedical.com/content.aspx?aid=57263498 RD 2024/04/20 AB Defined as delivery before completion of 37 weeksIncreasing in frequency in the United States: 9.4% (1981), 10.7% (1992), 12.3% (2003), 12.8% (2006)Pathophysiology:Excessive myometrial and fetal membrane overdistention:Multiple gestationPolyhydramniosDecidual hemorrhagePrecocious fetal endocrine activityIntrauterine infection or inflammationClinical diagnosis: regular, painful uterine contractions + cervical dilatation or effacementOutcome:Thirty percent diagnosed as “preterm labor” will deliver full termFifty percent hospitalized for “preterm labor” will deliver full termTherapeutic interventions seldom effective in prolonging pregnancy