preterm labor

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Dr. Pam Yoder answered:

How can I avoid preterm labor?

We MFMs wish we knew

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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
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Dr. Patrick Ramsey answered:

what are signs of preterm labor?

Cramping/Contraction

Fetal_ultrasound
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.
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Dr. Pam Yoder answered:

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.
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Dr. David C. Fein answered:

Nifedipine for preterm labor risks?

Much safer

Blood
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.
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Dr. Pam Yoder answered:

what are the signs of preterm labor?

Contractions, other

Motor_vehicle_accident
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.
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Dr. Pam Yoder answered:

Why do triplets have preterm labor?

Basic mechanics occ.

Stringio
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
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Dr. Steven Baughn answered:

Can ketoacidosis cause preterm labor?

Yes.

Labor_pains
This is a serious metabolic imbalance and can cause preterm labor
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Will having amnio cause preterm labor?

It can.

Pregnant
Amniocentesis involves introducing a fine needle into the pregnancy sac to retrieve some amniotic fluid for fetal DNA testing. That technique had inherent risks for complications, including preterm labor and preterm premature rupture of membranes. The risk for any of these complications to occur is <1%, but is real and devastating if they do occur.
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Can Mag withdrawal cause preterm labor?

Preterm labor

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.
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How can I tell if this is preterm labor?

Be suspicious!

Preterm_labor
First baby? Expected when? Some cramping- contractions do come and go! You have some time to be observant, and call OB to alert them.
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