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Doctor insights on: Pathophysiology Of Preterm Birth

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Can placenta prevera lead to a preterm birth?

Can placenta prevera lead to a preterm birth?

It can: Placenta previa means that the placenta is blocking to cervix, which is the opening from the uterus to the vagina. If the cervix starts to open, heavy bleeding can occur, making it necessary to deliver early to protect mom's health. To reduce the risk of life-threatening bleeding, doctors may deliver early.

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Dr. Kimberly Fortner
67 Doctors shared insights

Preterm Birth (Definition)

Labor that begins before the end of the 37th week is considered "preterm" or "premature." Approximately 1 out of every 10 babies born in the United States is preterm. No one knows the exact cause of preterm labor, but certain situations increase the odds for it, ...Read more


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How long does it take for a child with preterm birth to catch up in his social development?

How long does it take for a child with preterm birth to catch up in his social development?

Motor skills: The common developmental charts are dominated by motor skills early. Since these are based on nervous system maturity, it is only fair to a premi to base expectations on their conceptual age rather than time of birth. This means we adjust expectations by however weeks they were early. After 18 mo or so they are generally doing everything the same.

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What is the treatment for preterm birth?

What is the treatment for preterm birth?

Tocolysis <34 weeks.: Preterm births account for ~12% of all us births and are disproportionately responsible for morbidity and mortality among infants. When possible, the preterm labor episodes are arrested by tocolytics - i.e. Medications that relax the uterus to prolong the pregnancy safely until fetal maturity or by 34 weeks. Tocolytics include magnesium, nifedipine, Indomethacin and atosiban.

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What can I do if I have a history of preterm birth?

What can I do if I have a history of preterm birth?

Folate, (folic acid) progesterone: Preconceptional Folic Acid and supplemental Progesterone can prevent preterm birth recurrence safely and effectively. If you are one of the rare women with cervical incompetence, a cerclage could help you avoid recurrent preterm birth. Aspirin could also prevent preeclmapsia and fetal growth restriction and thus prevent indicated preterm birth. Maintain low stress and normal weight for your height.

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If I have had a previous preterm birth, does that mean I will have another one?

If I have had a previous preterm birth, does that mean I will have another one?

Increased risk: Your risk is higher than normal. Depending on the circumstances of the previous birth, you should ask your doctor about Progesterone injections to help decrease your risk.

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Why do people think a small baby is so cute when he had to struggle for his life since preterm birth? Should give sympathy.

Why do people think a small baby is so cute when he had to struggle for his life since preterm birth? Should give sympathy.

Eye of the beholder: Babies cause a lot of different reactions in people. None of these reactions are "good" or "bad". A preterm baby can be "cute" just as any baby. The same holds true for children with disabilities. Yes, some children have had to overcome obstacles, but that doesn't mean we should always pity them rather than delight in them.

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Can I have preterm birth and my baby can die from periodontal disease?

Can I have preterm birth and my baby can die from periodontal disease?

Yes.: A mother with periodontal disease is at increased risk of having a pre-term low birth weight baby. This is documented and the consensus. Obviously a baby can die from being pre-term and low birthweight but the degree to which this may be a result only of periodontitis can be difficult to determine and is unlikely. Obviously a newborn cannot have periodontal disease themselves.

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I am 18 weeks and feel pelvic pressure from time to time I previously had a preterm birth should I be concerned.

.: This could very well be braxton hicks- false labor pains as you are into your second trimester, but if you have had a preterm delivery in the past and you don't know the exact reason why, better to consider this a high risk pregnancy and get to your OB with any signs of labor.

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My son is just 18 months and he has four decaying teeth, he is preterm born in 32 weeks, is his decaying teeth connected to his preterm birth

My son is just 18 months and he has four decaying teeth, he is preterm born in 32 weeks, is his decaying teeth connected to his preterm birth

So/so-dentalcare now: Dental decay is related to infection from bacteria. Children form their mouth from birth to about 3 years. These hundreds of bacteria are shared persontoperson. If he was born by csection he had less good exposure. Healthy diet- apples pears spinach and asparagus promote good bacteria. Sweet drinks and sticky treats can promote bad bacteria only 4 of 700s. He is high risk now! Be vigilant!

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I had a preterm loss at 19.3w. Preg again. Had cervical length check at 19.5w and it was 3.84 cm/no infection. What is chance of preterm birth again?

I had a preterm loss at 19.3w. Preg again. Had cervical length check at 19.5w and it was 3.84 cm/no infection. What is chance of preterm birth again?

Elevated: Having a preterm birth in one pregnancy increases the risk of preterm birth in future pregnancies. It is also important to determine if the cause preterm labor, preterm rupture of membranes or an incompetent cervix. Ask if you are a candidate for a cerclage or for 17 Hydroxy Progesterone injections.

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On CD4 of 1st cycle after preterm birth FSH is 17 (3-12).How do you think would I have had the same level of FSH in cycle I conceived? Or it increased?

On CD4 of 1st cycle after preterm birth FSH is 17 (3-12).How do you think would I have had the same level of FSH in cycle I conceived? Or it increased?

Depends: A cycle day 4 fsh is not a normal test to run on a 21 year old who just had a baby. Normally this is a test done during an infertility work up. Obviously you are quite fertile if you just had a baby. For fsh to be reliable you need to be 6 weeks post partum and not breastfeeding. Clarify with your doctor why you are doing this test and ask to clarify the results in your specific situation.

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Had a preterm birth on 24 week 3 month ago, now tested for CMV IgG and it was 2.8 (grey zone:0.85-1.1)is it possible that it would have caused pprom?

Possibly: But all this testing says is that you have probably had infection with CMV sometime in the past. It does not tell you when, or whether it was instrumental in precipitating early onset of labor.

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I have cerclage placed, on 17p, and vag suppositories for incomp cervix h/o preterm birth, if I sit mostly at work is it safe to come off bedrest?

I have cerclage placed, on 17p, and vag suppositories for incomp cervix h/o preterm birth, if I sit mostly at work is it safe to come off bedrest?

Talk to your OB: There are differing opinions among obs about the value of bed rest after cerclage. You should discuss this with your OB or have a consultation with a high risk pregnancy specialist.

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Water broke @ 35 weeks, then contractions started few hrs later, then baby born 14hrs later. Is this pprom, prom or preterm birth?

Water broke @ 35 weeks, then contractions started few hrs later, then baby born 14hrs later. Is this pprom, prom or preterm birth?

Prom/preterm: People seldom apply the prolonged label to premature rupture of membranes until they have been open at least 18 hrs. Your birth was preterm which does not exclude the premature rupture of membranes label, it includes it.

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Can stress cause preterm birth when your pregnant?

Can stress cause preterm birth when your pregnant?

Stress: There is some evidence that stress can contribute to preterm labor but as a single cause this would be unlikely. 1 in 10 pregnancies are preterm and the exact cause is not known. Hope this helps.

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Does incompetent cervix and preterm birth affet on fertility or being pregnant again?

Does incompetent cervix and preterm birth affet on fertility or being pregnant again?

No: Incompetent cervix and preterm birth put your future pregnancies at higher risk, however, they do not affect your ability to get pregnant.

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I have a history of preterm birth of twins (31w gestation). Assuming my next pregnancy is a singleton, should I do 17p injections to reduce the risk of ptb? Are there risks to 17p injections?

I have a history of preterm birth of twins (31w gestation). Assuming my next pregnancy is a singleton, should I do 17p injections to reduce the risk of ptb? Are there risks to 17p injections?

See your doctor: I think you should really discuss this with your obstetrician. Without other info and without actually seeing a patient, these kind of questions are hard to answer.

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Dr. Josephine Ruiz-Healy
218 Doctors shared insights

Premature Delivery (Definition)

Premature delivery is birth prior to the 37th ...Read more