Doctor insights on:
Risk 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
Triplets: The biggest risk factor for preterm delivery with triplets is - having triplets. I'm not a maternal-fetal specialist, but as an rei I've seen this alot - the main risk factor is the triplet; age, weight, etc, contribute a very small risk above and beyond. ...Read more
For baby's lungs: Steroids given to a woman if she is suspected of going into labor prematurely is to help with the development of her baby's lungs, which are among the last organs to develop. By doing so, it can help prevent complications in the baby after delivery and hopefully prevent or shorten NICU stays. Hope that helps! ...Read more
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
Nope.: Unfortunately, trials of nutritional supplementation to improve perinatal outcomes have pretty consistently failed to show any measurable improvement and some have even suggested there may be some risk. Fish oil supplements are no different - they may help the fetal brain, but have no effect of preterm birth rates. Consume 1-2 serving of fish low in methylmercury (i.e. Not predatory/large) weekly. ...Read more
Not typically: Increased amounts of rest in pregnancy is important. Rest improves uterine perfusion for the fetus and allows your body to recover over the course of the day. Overall, good hydration and nutrition play an important role in all pregnancies. However, difficulty sleeping can be a common complaint in pregnancy. ...Read more
No: But you have a higher chance of preterm delivery because induction or c/s may become necc. For medical reasons. ...Read more
What are the health risks going into preterm labor at 33 weeks. I will be having a baby boy and am high risk for preterm labor.
NICU stay: Under 36 weeks there is >50% chance a boy premi would end up with respiratory distress & need to spend time in a neonatal intensive care unit. This would involve oxygen & fluids pumped through iv's or tubes into the belly button. It might mean a mechanical ventilator to assist breathing. Eventual outcome > 33 wks is pretty good with good care but stay is usually > 10 days & complications do occur. ...Read more
TVS measured cervical length [email protected] to [email protected], fFN+, cramping/backache, spotting. Normal shortening of CL? What's the risk of preterm labor?
Very real risk: The positive fetal fibronectin suggests that the risk is very real and treatment to prevent/stop preterm labor +/- steroids to hasten lung maturity should be considered based on your particular case. If one is available I would guess your OB wants to consult a maternal-fetal medicine specialist (a doctor who specializes in high risk pregnancies). Best wishes to you and the baby. Hope this helps. ...Read more
23 wks pregnt, short cervix, risk of preterm labor. Taking nitrofurantoin mono/mac. Read not to take near end of pregncy. Don't know I am near or not. Risk?
If you're pregnant with twins, does working long hours increase your risk for preterm labor? Is it recommended to stop working?
It depends: Twins predisposes you to a risk of preterm labor. We typically follow twins with cervical ultrasounds to measure the cervical length. The shorter the cervix, the greater the risk of ptl. If you have a short cx, then yes, we typically restrict a persons work. If the cervix is normal in length, then many women maintain their activity level. ...Read more
How do I treat acute bronchitis during pregnancy (17 wks)? How long it usu takes to recover? Does prolonged bronchitis increase risk of preterm labor?
Western medicine has no proven treatments for bronchitis (antibiotics work no better than placebo). I have had great success treating bronchitis with homeopathy, which is very safe in pregnancy. For best results see a professional homeopath, but you could try one of these: http://tinyurl. Com/pztnvx8
Pelargonium sidoides is a herb proven to help but its safety in pregnancy has not been studied. ...Read more
Will a yeast infection go away on its own? I'm 30 weeks pregnant and high risk for preterm labor.
I am concerned: You are 30 weeks and high risk, you need to be comfortable sending any and all questions to your doctor or midwife. This is a good question here but a risk this is not yeast. Any uncertainty is unacceptable in your situation. If anyone at the other end of the phone acts annoyed with your questions that is their problem, not yours. Call all questions in to your provider from here on out! Good luck. ...Read more
If I am at risk for preterm labor (twin pregnancy, lots of bh contractions, 2 CM cervix, 1 CM dilation, positive ffn), what can I do to lower my risk?
MFM care.: Depending on your gestational age maternal-fetal medicine consultation will help you and the babies achieve the optimal perinatal outcome. Pessary apparently may help prevent twin preterm birth, but pretty much nothing else helps. Please see an mfm to assess chorionicity and possibility of ttts/ops. Steroids and short term tocolysis (magnesium sulfate for 48 hours) help and should be considered! ...Read more
30 weeks pregnant high risk for preterm labor and have been put on strict bed rest. Can I use at home treatment for a yeast infection?
Call your Doctor: You are 30 weeks and high risk, you need to be comfortable sending any and all questions to your doctor or midwife. This is a good question here but a risk this is not yeast. Any uncertainty is unacceptable in your situation. If anyone at the other end of the phone acts annoyed with your questions that is their problem, not yours. Call all questions in to your provider from here on out! Good luck. ...Read more
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
I'm 33 weeks pregnant and an having the same problems as this woman with diarrhea with cramps and I'm 41 years old and high risk is this preterm labor?
I don't know who...: ...this woman with diarrhea & cramps is, but that's important. What is important is that you have a high risk pregnancy. One of the risks is preterm labor. Please se your OB immediately. If s/he isn't available, please go to an emergency room. I wish you the best! Dr. Anne. ...Read more
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
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
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
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