Doctor insights on:
Multiple Gestation Preterm Labor
If dexamethazone injection was given at 30 weeks of gestation for suspected preterm labour, should it be repeated if delivery is planned at 36+6 by Cs?
If you're pregnant or planning to get pregnant, there are many things you can do to give your baby a healthy start: Regular prenatal visits along with laboratory testing, ultrasounds, prenatal vitamins and immunizations (like the flu shot and whopping cough booster). Now's the time to eat healthy, stay hydrated, and ...Read more
Is it safe to be on procardia and vistril multiple times a day for multiple weeks to prevent preterm labor? Started having contractions at 30wks.
Uterus+cervix change: Labor is the presence of regular contractions plus change in the cervix. When labor occurs before term, or 37 completed weeks of gestation, then it is considered preterm labor. If born too early, the premature newborn faces some problems like difficulty breathing, poor resistance to infection, bleeding in the head, etc. An OB expert needs to evaluate all cases and determine whether to try to stop. ...Read moreSee 2 more doctor answers
Not all have risks: Sometimes preterm labor, and even delivery, can happen in women with no known risk factors. If a pregnant woman doesn't have any of the typical risk factors like twins or triplets, bleeding, prior history of preterm birth, etc, she should call her OB if signs or symptoms of premature labor. If she does have those risks, she should be prepared to notify her OB and go to labor & delivery immediately. ...Read moreSee 1 more doctor answer
Basic mechanics occ.: Whether it contains triplets, one big baby or extra amniotic fluid, the uterine muscle can only stretch so far before it starts to contract. Similarly fibers holding the cervix closed can only withstand so much weight and pressure before it begins to thin and to open up. A similar thing might happen to a single amniotic sac these (contractions, dilating, bag breaking) can lead to labor, delivery. ...Read moreSee 2 more doctor answers
None/triplets suffic: No other factors are required; triplets in and of themselves will increase the risk of preterm birth tremendously. In fact the mean gestational age at triplet birth is 32 weeks and ~100% of triplets deliver prematurely. As you can tell all other risk factors pale in comparison. There is no evidence that cervical cerclage or Progesterone can prevent preterm birth in twins or higher multiples. ...Read moreSee 1 more doctor answer
About 22+ weeks: After 22+ weeks of gestation many ob's will attempt to use tocolytics to stop labor, especially if the mother has had repeat pregnancy losses. Viability of a live fetus however is dependant upon the nicu of the hospital and its' care until the fetal lungs are mature enough to breathe and survive once pre-term delivery occurs. ...Read more
Not the same: A premature rupture of membranes (also known as "PROM") means that your water breaks before you actually go into labor. If this happens for more than 12-18 hours before you go into labor, then yes, this is harmful for the baby. It could lead to an infection. This risk is even higher if you are GBS positive. If your water breaks prematurely, you should call your Ob/Gyn to discuss the game plan. ...Read moreSee 1 more doctor answer
We MFMs wish we knew: Physicians and nurses who care for pregnant patients, physicians and all other providers who take care of preemies through their lifetimes, parents and researchers have looked at many ways to prevent preterm labor and delivery and its effects on children and families. At this point we do not even know all the causes. Plus we often lack treatment. Funding of research is what we need along with care. ...Read moreSee 2 more doctor answers
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