Preterm Labor

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Section 7 - PEDIATRIC / OBSTETRICAL

7.05 PRETERM LABOR

  • Patient must confirm POSITIVE pregnancy test and be between 20 and 35 weeks gestation.
  • If patient states she is having regular contractions and is not having any SEVERE PAIN or HEAVY BLEEDING (i.e. suspected Placenta Previa or Abrupto Placenta).
    • Administer ALBUTEROL 2.5 mg via updraft every 10 minutes while monitoring heart rate.


OBSTETRICAL TRANSPORT DESTINATION Practice Parameter (1.13)

  • Patient known to be < 20 weeks gestation:
    • Last menstrual period < 20 weeks, or verifiable Ultrasound proven dates or other proof of < 20 weeks gestation.
    • Transport to the closest Emergency department (not closest obstetric facility).
  • Patient known gestation or possible gestation > 20 weeks:
    • If imminent delivery or medically unstable mother, transport to the closest ED, (not the closest obstetric facility).
    • If patient with non traumatic abdominal, pelvic or back complaints (including bleeding or vaginal fluid leak). ***Transport to the closest appropriate obstetric facility.
      • Contact appropriate obstetric facility ED for radio report and any additional direction/assistance.
      • May transport to the patient’s requested obstetric receiving facility, (i.e. high risk pregnancy with pre-selected Obstetrical destination) if patient is not having an imminent delivery.
  • If patient is a TRAUMA ALERT/ TRAUMA RED
    • Transport to Orlando Regional Medical Center (as per protocol)
    • Trauma yellow and green are to be transported to the ED of closest OB receiving facility


Appropriate Obstetric Receiving Facilities

  • Central Florida Regional Hospital (Seminole)
  • Florida Hospital Altamonte (Seminole)
  • Oviedo Medical Center (Seminole)
  • Winnie Palmer Hospital (Orange) Call ORMC and transport at their directive
  • Florida Hospital Orlando (Orange)
  • Winter Park Memorial (Orange)