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Doctor insights on: Preterm Delivery In Children

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What are the tests for preterm delivery?

What are the tests for preterm delivery?

Several: Fetal test strip will evaluate the fetus and determine stress. Transabdominal stress testing can evaluate presence or absence of uterine contractions. ...Read more

Dr. Marvin Ott
18 Doctors shared insights

Preterm Delivery (Definition)

A preterm delivery is defined as any delivery of a newborn less than ...Read more


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How can you make sure you don't get preterm delivery?

How can you make sure you don't get preterm delivery?

Early care: The best prevention is early prenatal care, so that any medical issues can be identified early and treated early. However, even in the best care, early labor can occur from a variety of issues. However, knowing you are pre-disposed allows you to make arrangements to deliver in a high-rsk delivery service where there is a nicu readily available. ...Read more

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What is the definition or description of: Preterm delivery?

What is the definition or description of: Preterm delivery?

Preterm birth: A preterm delivery is defined as any delivery of a newborn less than 37 weeks gestation completed. ...Read more

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What is the treatment for preterm delivery?

What is the treatment for preterm delivery?

Variable: Bed rest, smooth muscle relaxant medications and sometimes beta blockers plus ongoing surveillance usually in house. ...Read more

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Can preterm delivery manifest malignant symptoms?

Can preterm delivery manifest malignant symptoms?

Yes: Preterm labor can manifest as hellp syndrome which result in hypertension, headaches, filtration defects of the kidneys, visual defects. If untreated can result in stroke or fetal demise. ...Read more

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How does placenta previa cause preterm delivery?

How does placenta previa cause preterm delivery?

Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read more

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I am 21 days post vag preterm delivery. I was straight cathed x4 N 12q. My urine is cloudy and smells like onion. No pain. UTI?

I am 21 days post vag preterm delivery. I was straight cathed x4 N 12q. My urine is cloudy and smells like onion. No pain. UTI?

Cloudy urine: Fever, abdominal pain, flank pain, urine with strong odor, cloudy urine are some of the symptoms indicating a urine/kidney infection. Having been straight cathed for 4 days may put you at risk depending on how sterile the conditions were when you had the process. Consider seeing your doctor and getting a urine test to check for urine infection. It wouldn't be unreasonable at all. ...Read more

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Can taking cyclogest (progesterone) 200mg per day reduce my chances of preterm delivery? As I have a higher risk of having a weak cervix due to leetz

Can taking cyclogest (progesterone) 200mg per day reduce my chances of preterm delivery? As I have a higher risk of having a weak cervix due to leetz

Preterm delivery: There is scientific data to suggest that Progesterone decreases the risk of preterm delivery in those at significant risk for it. If just having a lletz, leep or cone is your only risk factor, it may not be truly necessary. ...Read more

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I'm 35weeks pregnant my ob is concerned that I may hv preterm delivery she advised me to hv injection betavathsore to mature the lungs of the baby???

I'm 35weeks pregnant my ob is concerned that I may hv preterm delivery she advised me to hv injection betavathsore to mature the lungs of the baby???

Betamethasone is: The safest & most effective method of accelerating fetal lung maturity. Discuss your concerns and questions with your OB, so that you can make an informed decision. ...Read more

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I'm 32.5 weeks pregnant and I was told today that I have borderline low amniotic fluid and that I need to hydrate. Will drinking more fluids correct this and if so, how soon can it get corrected through hydration? I'm worried about a preterm delivery

I'm 32.5 weeks pregnant and I was told today that I have borderline low amniotic fluid and that I need to hydrate. Will drinking more fluids correct this and if so, how soon can it get corrected through hydration? I'm worried about a preterm delivery

Oligo hydramnios: Decreased amniotic fluids at 32 weeks will definatly respond to increased fluids and rest. As you near term your doctor I am sure vwill monitor you and baby by nonstress test biophysical profile and will decide the timing of dilivery and care for decreased amniotic fluid ...Read more

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I'm 32 weeks pregnant my cervical length is 3.4 cm now. Doctor saying preterm delivery chances are there. If 3.4cm CL means when chance for delivery?

I'm 32 weeks pregnant my cervical length is 3.4 cm now. Doctor saying preterm delivery chances are there. If 3.4cm CL means when chance for delivery?

Clinical details: A cervical length of 3.4 cm at 32 weeks is pretty normal. If your doctor counseled you regarding risk of preterm labor you should ask for clarification what specific risk factors for preterm labor you have and what treatment plan needs to be in place ...Read more

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Is delivery at 33 weeks considered preterm?

Is delivery at 33 weeks considered preterm?

Yes.: Any delivery before 37 weeks is considered preterm and has significant short and long term consequences. A 33 week delivery is not desirable, but is much better than a 28-32 week delivery, meaning most infant should survive intact. ...Read more

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Preterm vaginal delivery, is it nsvd, what to do?

Preterm vaginal delivery, is it nsvd, what to do?

Yup: NSVD - normal spontaneous vaginal delivery is used to denote an otherwise uncomplicated delivery.
If you had preterm delivery, seek OB care as soon as you are pregnant to get appropriate interventions to reduce risk of recurrence.
The recurrence rate is ~20%. ...Read more

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Is there any problem with premature delivery at 36 weeks?

Is there any problem with premature delivery at 36 weeks?

Not commonly.: Late preterm birth such as the one you inquire about at 36 weeks has increased risks for neonatal morbidities such as difficulty eating, breathing, infection and death - but only slightly compared to full term (39-40 weeks) births. Most 36 weekers go home with mom within 2-3 days of life and do just fine. ...Read more

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Is os tightening required after a premature delivery, y is so?

Is os tightening required after a premature delivery, y is so?

Maybe: Cervical cerclage is the medical term for the os tightening you describe. It is controversial but most would agree that it may help some women. However the patient's specific history of cervical weakness or pregnancy loss needs to be evaluated by a doctor. ...Read more

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Baby is in the head down position at 29 weeks. Is she likely to stay there? Does this increase the possibility of preterm/early delivery?

Baby is in the head down position at 29 weeks. Is she likely to stay there? Does this increase the possibility of preterm/early delivery?

Yes and no: Since most babies deliver from the head down position it is likely to end up that way but change is possible. No, being head down does not mean you are more likely to deliver early. Be aware of your sensations and check out any early contractions with the OB to be sure you know when to come in for an evaluation. Early labor can be stopped so baby has a better chance to avoid newborn intensive care. ...Read more

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Is having ultrasound scan twice or thrice in 8th month of pregnency harmful for baby and mother? Can it lead to premature delivery?

Is having ultrasound scan twice or thrice in 8th month of pregnency harmful for baby and mother? Can it lead to premature delivery?

No: This technoloogy has been evaluated over the years and found to be harmless to a developing fetus. There is no proven linkage to premature labor or premature birth. ...Read more

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What are signs of preterm labour?

Pain, bleeding.: Usually preterm labor is manifested with abdominal pain, vaginal bleeding, fever or leaking fluid per vaginam. As it progresses to preterm birth, it invariably causes severe pelvic pain and pressure and should be managed in a tertiary hospital with nicu availability. ...Read more

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What are some of the long term effects of being a preterm baby?

What are some of the long term effects of being a preterm baby?

See below: Bronchopulomary dysplasia- premature lung development
delayed growth and development
mental or physical disability or delay
retinopathy of prematurity with possible vision loss. ...Read more

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How would you know if u had preterm labour or the dates were just off by a couple weeks?

How would you know if u had preterm labour or the dates were just off by a couple weeks?

Ultrasound: If you have had several us during pregnancy your gestational age (and due date) should be pretty exact. ...Read more

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Why should we stop preterm contractions; isn't that my body telling me the baby is ready to come out?

Why should we stop preterm contractions; isn't that my body telling me the baby is ready to come out?

Term is best 4 baby: Preterm labor affect 1/8 of pregnancies making it one of the most common complications of pregnancy. Preterm birth can lead to serious complications. You and your doctor will monitor for signs or preterm labor as part of your routine prenatal care. There are medications to slow or stop labor that can be used if needed and some women qualify for weekly Progesterone shots. ...Read more

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What is dose of total parentral nutrision fo preterm baby 28weeks gestasional age keeping NPO on mechanical ventillator?

What is dose of total parentral nutrision fo preterm baby 28weeks gestasional age keeping NPO on mechanical ventillator?

There are many: Variables and it is individualize to each infant. You can discuss this with your baby's neonatologist. ...Read more

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If a baby is preterm, do we base milestones off his actual birth age or the age he should have been if he wasn't preterm?

If a baby is preterm, do we base milestones off his actual birth age or the age he should have been if he wasn't preterm?

General rule- adjust: The expected milestones are based on the date of conception rather than the point of birth. For example, 28 wk (3m early) would be expected to hit milestones adjusted back 3m. We would do this until about 2yr when most would be similar to term born kids. Regardless, those vulnerable premi's would benefit from therapy to provide for early identification & rx of any problems. ...Read more

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What happens if I go into preterm labor?

What happens if I go into preterm labor?

Depends: If you act quickly and do not rupture your membranes, the doc can stop your labor with meds and give baby more time to develop. If you do nothing, you will go into labor early and likely end up with a baby in intensive care. ...Read more

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What should be the glucose level of a preterm newborn?

What should be the glucose level of a preterm newborn?

40: The average blood glucose of a preterm newborn is 40 (+/- 20). This is much lower than an older child or adult, but is acceptable at this age. ...Read more

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What are the symptoms of preterm labor you notice first?

What are the symptoms of preterm labor you notice first?

Cramping/Contrations: Cramping and contractions are common. Tightening of the abdomen can also be noted. Rhythmic back pain, pevlic pressure, change in vaginal discharge, spotting or bleeding, or large gush of fluid can also be a sign. In any case where there is concern, the pregnant woman should seek immediate care with her OB provider or at an OB facility. ...Read more

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I don't understand why I went into preterm labor? What are the causes?

Largely unknown...: Pretem labor is a blanket/umbrella diagnosis for a wide spectrum of conditions that result in fetal stress and uterine contractions. Such conditions include: infections, poor growth, placental failure, bleeding, too much amniotic fluid, multifetal pregnancies, trauma, fetal anomalies causing hydrops or heary failure, etc. Most of the time there is no diagnosis and preterm labor is "idiopathic". ...Read more

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Is heartburn part of preterm labour?

Is heartburn part of preterm labour?

Heartburn in Preg: Heartburn is very common in pregnancy. From a hormonal standpoint your gut relaxes and acid rises up. From a mechanical standpoint your growing pregnancy will push up on your stomach. These are not signs of preterm labor though; you would feel much stronger contractions. ...Read more

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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. ...Read more

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Nifedipine for preterm labor risks?

Nifedipine for preterm labor risks?

Much safer: Nifedipine (brand name: procardia) is a much safer class of medication for premature labor than it's predecessors, such as terbutaline or ritodrine, which could cause fast heartbeat, high blood sugars, and even pulmonary edema. ...Read more

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Does ivh only occur in preterm babies?

Does ivh only occur in preterm babies?

No, but more common: Intraventricular hemorrhage does not exclusively occur in preterm infants, although it is much more common in preterm infants as opposed to term infants. ...Read more

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How can I avoid preterm labor?

How can I avoid preterm labor?

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 more

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What are signs of preterm labor?

Cramping/Contraction: Cramping and contractions are common. Additional signs that can signify preterm labor include rhythmic back pain or pelvic pressure, change in vaginal discharge, bleeding or spotting, large gush of amniotic fluid. In any case where preterm labor is suspected the pregnant woman should seek immediate care from her OB provider or local OB facility. ...Read more

Dr. Josephine Ruiz-Healy
218 Doctors shared insights

Premature Delivery (Definition)

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