Preterm Labor

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

• 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)