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Doctor insights on: Preterm Labor

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Dr. Guy VanDell
291 Doctors shared insights

Preterm Labor (Overview)

Preterm labor =regular uterine contractions before 37 weeks of pregnancy with accompanying cervical changes in preparation for delivery.


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What is considered a preterm labor?

What is considered a preterm labor?

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 more

Dr. Guy VanDell
291 Doctors shared insights

Preterm Labor (Overview)

Preterm labor =regular uterine contractions before 37 weeks of pregnancy with accompanying cervical changes in preparation for delivery.


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What are the symptoms that can arise before, during, or after preterm labor?

What are the symptoms that can arise before, during, or after preterm labor?

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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Preterm labor (Tip)

Avoid stress and over exertion/dehydration. They can cause preterm birth and small babies. ...See more

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Preparing for Labor and Delivery (Checklist)

Watch for signs of labor, such as increasing contractions or fluid leakages
Once
If the baby is not moving, do kick counts, and keep in mind that you should feel 10 in two hours
Once
Call your doctor with any questions or concerns
Once
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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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What are the signs of preterm labor?

What are the signs of preterm labor?

Contractions, other: Contractions with cervical change before term define preterm labor. They can be mild or irregular, accompanied by discharge, back pain, etc. If preterm, especially with risk factors (eg, twins, diabetes), it is always appropriate to call OB or go to labor & delivery asap. An evaluation by physician is needed. Sometimes a transfer to a perinatal center is required, and it can take time to mobilize. ...Read more

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Preterm labor (Tip)

Ask doc for labor symptoms ask doc about kick counts avoid long trips. Keep yourself hydrated. ...See more

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Diagnosed with partial/marginal placenta previa (25 wks). Precautions? Worried about preterm labor, placenta has not moved up since 17 wk scan.

Try to relax!: It's still fairly early to be worried. Most patients with marginal placentas deliver vaginally without incident. If this is your first pregnancy your lower uterine segment will not soften until fairly close to term so the placenta may appear to be low until fairly late. As long as there isn't significant vaginal bleeding you shouldn't worry. ...Read more

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How do I know the difference between Braxton Hicks contractions and preterm labor?

How do I know the difference between Braxton Hicks contractions and preterm labor?

Pain & frequency: True labor is generally painful, or at least associated with pelvic pressure and/or backache. True contractions come every 5-10 minutes, whereas false contractions of braxton-hicks come every 30 minutes. If in doubt, consult your obstetrician asap. ...Read more

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Preterm labor (Tip)

In active labor, eating and drinking can precipitate nausea and vomiting. ...See more

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Can mag withdrawal cause preterm labor?

Can mag withdrawal cause preterm labor?

Preterm labor: Premature labor is caused by inflammation or infection. Magnesium has been used for the treatment of premature labor, but multiple studies have shown that it doesn't really stop contractions. Its use for this indication is declining. Withdrawing an ineffective medication can't cause premature labor. ...Read more

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Just dx'd with mild preeclampsia- I'm 28weeks. Does this put me at higher risk for preterm labor, or does it just mean I'll probably have to deliver?

Risk for preterm: For mild pre-eclampsia that begins before the baby is full-term (37 weeks) the typical treatment is admission to the hospital, with modified bed rest, low stimulation, fetal monitoring, and blood and urine tests. Steroid treatments to help your baby's lungs develop. If you remain stable, you may be able to wait to deliver until you're full-term. Your doctor will develop a plan that's right for you ...Read more

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Are there bad effects on a mother and baby when treated for preterm labor with terbutaline?

Are there bad effects on a mother and baby when treated for preterm labor with terbutaline?

Not really: This is a chemical cousin of adrenalin, a normal stress chemical made by your body. It is quick acting but out of your (babies) body in 8 hours or less. Other than give you a headache and raise your heart rate & make you edgy, it has minimal side effects. ...Read more

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What are the indications and nursing care for preterm labor treatment?

What are the indications and nursing care for preterm labor treatment?

Preterm labor: To evaluate a patient for premature labor, it is essential to monitor uterine contractions and fetal heart beat. An early cervical examination and a follow up cervical examination will tell if there has been cervical change. Cervical change is a hallmark of premature labor. If there is cervical change, then treatment can be started. ...Read more

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Do progesterone shots really prevent preterm labor?

Do progesterone shots really prevent preterm labor?

YES!: Progesterone shots weekly between 16-37 weeks prevent up to 31-42% of recurrent preterm labor in women who have already had a preterm birth in a previous pregnancy. ...Read more

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Does working long hours increase the risk of preterm labor?

Does working long hours increase the risk of preterm labor?

Not necessarily: Depending on your physical shape, and the nature of your work, it may not be risky. Ask your doctor at your next visit. The human race got here with much more physical activity than we typically do today.... ...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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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

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What is considered a preterm labor?

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 more

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What are the signs of preterm labor?

Contractions, other: Contractions with cervical change before term define preterm labor. They can be mild or irregular, accompanied by discharge, back pain, etc. If preterm, especially with risk factors (eg, twins, diabetes), it is always appropriate to call OB or go to labor & delivery asap. An evaluation by physician is needed. Sometimes a transfer to a perinatal center is required, and it can take time to mobilize. ...Read more

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How can I tell if this is preterm labor?

How can I tell if this is preterm labor?

Be suspicious!: First baby?
Expected when?
Some cramping- contractions do come and go!
you have some time to be observant, and call OB to alert them. ...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 are the risk factors for preterm labor?

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 more

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How to tell if I am going into preterm labor?

Preterm labor: The best way to tell, is by a cervical check and toco monitoring. This can be performed in the doctors office or in the hospital. ...Read more

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I don't understand why I went into preterm labor again?

PreTerm Labor: We don't know the reason for ptl but if you had one ptl then you are at risk for this to happen again. Hope this helps. ...Read more

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What is the definition or description of: Preterm labor?

Preterm labor: Preterm labor =regular uterine contractions before 37 weeks of pregnancy with accompanying cervical changes in preparation for delivery. ...Read more

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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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Is it possible to go into preterm labor for a second time?

Is it possible to go into preterm labor for a second time?

Very much so: Women who experience preterm labor with one pregnancy likely have a combination of factors which make them susceptible to this. If they are pregnant again, their risk for preterm labor again is increased 2 to 3 times! Risk factors: age, multiple pregnancies, uterine abnormalities, drug (tobacco/alcohol/illicit) use, short interval between pregnancies, poor weight gain during pregnancy. ...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

Dr. John Holden
85 Doctors shared insights

Early Onset Of Labor (Definition)

Early onset of labor is a clinical finding in which the birth process begins before the ...Read more