Reduced cerebral palsy risk in early preterm infants
Tocolysis
Short term delay benefits
No proven long term pregnancy prolongation
Antibiotics
Indicated for infection or GBS prophylaxis
Not routine for intact membranes without infection
Patient Discharge Instructions
copy discharge instructions
Preterm labor precautions
Return now for contractions
Regular contractions every 10 minutes or more often for 1 hour
Contractions getting stronger or closer together
Return now for fluid leakage
Gush or continuous leaking from vagina
Wet underwear repeatedly
Return now for bleeding
More than light spotting
Clots
Return now for decreased fetal movement
Marked decrease from usual pattern
Return now for fever or illness
Fever or chills
Severe abdominal pain
Activity guidance
Hydration goal with water intake
Avoid substance triggers
Sexual activity guidance per obstetrics plan
Follow up plan
Obstetrics appointment timing provided
Medication instructions if prescribed
References
Clinical guidelines and evidence
Key guidance sources
ACOG practice guidance on management of preterm labor
Antenatal corticosteroid indications and regimens
Tocolysis candidate selection and contraindications
SMFM guidance on late preterm corticosteroids
Candidate selection for 34 to 36 weeks 6 days
International consensus on magnesium sulfate neuroprotection
Less than 32 weeks dosing and monitoring
Evidence based sources
Landmark evidence themes
Randomized trials supporting antenatal corticosteroids for neonatal outcomes
Respiratory distress syndrome reduction
Intraventricular hemorrhage reduction
Meta analyses supporting magnesium sulfate neuroprotection
Cerebral palsy risk reduction
Trials and systematic reviews on tocolytics
Short term delay benefit
Maternal adverse effect profiles
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.