Preterm labor is the maternity that shows signs of early labor before 37 weeks of pregnancy. For babies born prematurely (prematurely) there is a high risk of health problems at birth, as well as during life. Premature babies need to stay in hospital longer than those born at full month.
1. What are the symptoms of premature labor?
Signs of premature labor include:
- Lower abdominal pain as it nears the month
- Abdominal contractions every 10 minutes or earlier
- Nausea, vomiting or diarrhea
- Smoldering back pain
- Severe sensation, pelvic or lower abdominal pain
- Abdominal cramps
- Abnormal vaginal discharge such as dampness with mucus or little blood
- Rupture of the youngamniotic fluid , water flows continuously from the vagina after the membrane that surrounds the baby ruptures.
When to see a doctor:
If you experience these signs or symptoms, go to the hospital immediately for timely examination and treatment. Women should not be subjective or confused because some may be common symptoms during pregnancy, not premature birth. But to be sure, women should go to the doctor to exclude premature labor.
2. Which maternity is prone to premature birth?
Many different factors can increase the risk of early labor, including:
- Have a history of premature birth
- Problems with the uterus, cervical or placenta
- Obesity, overweight or underweight before pregnancy
- Do not receive good care during pregnancy
- Drinking alcohol or using stimulants during pregnancy
- There are diseases such as high blood pressure, pre-seizures, diabetes, blood clot disorders or genital tract infections
- Stress or life events such as the death of a loved one
- Multiple amniotic fluid
- Fetuses with birth defects
- In vi vism fertilization
- Multiple pregnancies
- Family history of premature labor
- Pregnancy is too early after childbirth.
3. Complications of premature birth
The earlier a child is born, the more post-birth problems such as underweight, shortness of breath, inadequate development of the body's muscles, and vision problems. Most premature babies who are well cared for will develop fully and catch up with babies born full months. However, these children are at high risk of experiencing some health problems later on such as autism, intellectual disability, cerebral palsy, lung problems, vision loss and hearing.
4. Treatment of premature labor
During labor, there are no medications or surgical procedures to stop labor. However, the doctor may use the following drugs:
- Corticosteroids: If the pregnant woman is between weeks 24 and 34, the doctor may prescribe strong steroid injections to speed up the fetal lung m maturity. Corticosteroids may also be recommended starting at week 23 of pregnancy if you are at risk of giving birth within the next seven days. In addition, corticosteroids can be used between weeks 34 and 36, if the maternity is at risk of giving birth within the next seven days and has not previously been used corticosteroids
- Magnesium sulfate is used when maternity is at high risk of childbirth between weeks 24 and 32 of pregnancy. Some studies have explained that magnesium sulfate it can reduce the risk of a type ofcerebralpalsy – cerebral palsy ) for babies born before 32 weeks
- Tocolytics to temporarily stop the contractions of the maternity. However, this drug cannot stop premature birth for longer than two days because they do not solve the basic cause of premature birth. However, Tocolytics can delay premature labor long enough to optimize the benefits of corticosteroids, or if necessary, the maternity will be transferred to a specialized facility for special care for both mother and baby. Tocolytics are not used in some cases, such as gestational hypertension.
For some women, it will be necessary to stitch the cervical waist due to the short cervical to keep the amniotic fluid and the fetus growing normally in the womb. In this technique, the cervical is sewn tightly with sutures. Usually, sutures are withdrawn after 36 weeks, however if necessary, sutures can be removed earlier.
Cervical sewing is recommended if you are less than 24 weeks pregnant, have a history of premature birth, and ultrasound shows that the cervical opening or cervical length is less than 25 mm.
5. Prevention of premature labor
Although it is impossible to prevent premature labor, women can do some things to increase the likelihood of a full-month, healthy pregnancy. Example:
- Regular pregnancy check-up for doctors to monitor the health of mother and baby. If you have a history of preterm labor or develop signs or symptoms of preterm birth, you may need to see your doctor more often during pregnancy
- Healthy diet. Some recent studies show that a diet high in polyunsaturated fats (PUFA) reduces the risk of premature birth, therefore it is recommended that women eat foods rich in PUFA found in nuts, nuts, fish and nut oils
- Quit smoking and stay away from tobacco smoke
- Consider the distance of pregnancy. Some studies show that if a mother continues to become pregnant with a newborn of less than six months, it increases the risk of premature birth
- If you plan to use assisted reproduction for pregnancy, consider how many embryos will be implanted into the mother's uterus due to multiple pregnancies having a higher risk of preterm birth than just one pregnancy.
If your doctor determines that you are at risk of premature labor, your doctor may recommend taking additional steps to reduce risk, such as:
- Take medicines to prevent the disease. If you have a history of preterm birth, your doctor will prescribe weekly injections of a form of the hormone progesterone called hydroxyprogesterone caproate that begins in the middle 3 months of pregnancy and continues until the 37th week. In addition, progesterone can be introduced into the vagina for the prevention of premature birth. If you are diagnosed with a short cervical prior to week 24 of pregnancy, your doctor may also recommend using progesterone until week 37
Management of chronic diseases such as diabetes and high blood pressure, these are all diseases that increase the risk of premature birth.
The package maternity program at Share99 International Health Hub helps customers complete pregnancy check-up milestones and necessary tests during pregnancy, in order to minimize the risk of premature birth. Customers who register for a full maternity package are cared for, checked the health of the mother and baby before giving birth – during childbirth and after birth in a full, dedicated way.
Currently, Share99 has packages including:
- Maternity Care Program 2019 – Labor
- Maternity Care Program 2019 – 36 weeks
- Maternity Care Program 2019 – 27 weeks
- Maternity Care Program 2019 – 12 weeks
For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE
Source: Webmd.com, Mayoclinic.org, Acog.org
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