Doctor insights on:
Preterm Delivery In Children
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
Preterm birth: A preterm delivery is defined as any delivery of a newborn less than 37 weeks gestation completed. ...Read more
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
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
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
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
Pregnancy ended at 5 mths w/preterm delivery. Pprom & cord prolapse a cause. Testing ovulation via strips for 5 mths, but no "smiley". This normal?
I am 18 weeks pregnant with baby 2 and I have been pooping 5-10 times a day. I did this up to my first's preterm delivery (28 wks). Is this normal?
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
Any side effects of betamethasone injections in pregnancy? Had celestone shots at 34 weeks for risk of preterm delivery?
Ok: Many studies have shown that it is safe and it helps in development of baby's lungs. ...Read more
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 am 22 weeks pregnant and have bacterial vaginosis. My dr gave me clindamycin. Am I now at high risk for preterm delivery?
Not necessarily: If you undergo treatment you aren't at high risk. ...Read more
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
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
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
NO: It has no relation to teeth cleaning. ...Read more
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?
Not needed: By 36-37 weeks the lungs of the fetus are generally mature enough not to require intervention. ...Read more
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
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
What is dose of total parentral nutrision fo preterm baby 28weeks gestasional age keeping NPO on mechanical ventillator?
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
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
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
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
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
If there are no known causes to having a preterm baby, are the chances still high to deliver early again? Or would there have to have been an issue?
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
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