About 22+ weeks. After 22+ weeks of gestation many ob's will attempt to use tocolytics to stop labor, especially if the mother has had repeat pregnancy losses. Viability of a live fetus however is dependant upon the nicu of the hospital and its' care until the fetal lungs are mature enough to breathe and survive once pre-term delivery occurs.
Preterm labor. Signs of preterm labor include a change in vaginal discharge, spotting or light bleeding, and presence of uterine contractions. Uterine contractions can be felt as a hardening of the uterus. If these occur you should call your doctor.
My idiot ob says he will not stop preterm labor at 34 weeks citing no risks. What are the true risks for baby if born that early?
Preterm risks. In fact, most obs will not stop labor at 34 weeks. The baby is in most cases mature enough. The concern is possible underdevelopment of the lung, but even in the 1% where that happens the treatments are very effective. So the only indication for stopping labor would be something like fetal distress or abnormal placement of the placenta.
RDS, infection. At 34 wks about half the kids need oxygen to treat respiratory distress syndrome and some will go on a ventilator. Males are more affected than females. Any respiratory distress will begin the risks of nicu care, with IV lines, antibiotics, arterial catheters & more. At 34 wks the survival rate is very good, barring a stroke or other complication of care, but the womb is the best place for a 34 wk.
Several treatments. They're are a few medications that have been helpful to at least temporarily stop preterm contractions: magnesium sulfate, Procardia (nifedipine) and Indocin are some of the meds used. Most meds will not prevent preterm delivery but will hopefully postpone it a bit...At least long enough to get steroids into the mom to help baby's lungs mature.
Medications. There are several medications that can be used for this. Iv fluid hydration can be helpful. Sedation and pain medications are sometimes used. Bed rest is sometimes recommended.
My doc said he will not stop preterm labor at 34wks. Having very freq. But non reg. Contractions and cramps. What should I do since he wont stop labor?
Your doc knows you. Your doc has been following you all along and knows when it is safer for you to have the baby. As I said earlier, 34 wks is a good age and baby will do well. So, if your doc is saying it is ok, I would follow his/her recommendation/care. Good luck to you.
Seek care for pain. Your doctor may not want to stop your contractions (and rightfully so if you are past 34 weeks), but (s)he is still responsible to you for pain control and monitoring of fetal well-being. I would recommend you are hospitalized for at least a few days to assure that both you and the fetus are in good shape.
Went I to preterm labor at 32w. Able to stop it. I'm 35+2 and 2cm dilated. Is there a chance to have this baby early too?
Possible. It is still possible to go into early labor. But at this time the likelihood of having a safe delivery and healthy baby are higher. Follow you doctor's instructions closely and you may be able to postpone delivery longer. Best wishes and congratulations!
Absolutely. A history of preterm labor puts you at risk for a repeat preterm delivery. While your preterm delivery at 32 weeks in the past has specific interventions like steroids and magnesium treatment, a preterm delivery at 35 weeks does not warrant any intervention. Drink lots of water and take care of yourself.
Again? If you have a history of preterm labor, you are much more likely than other pregnant women to have preterm labor. Decreasing your activity level can lower your risk. You should discuss this with your doctor.
I'm 31 weeks pg, last 4 days diareha. I go 4 few hrs then stops 4 few hrs & repeats, even in the night. History of preterm labor, could this be labor?
Please call your OB. Recurrent idarrhea can cause a significant loss of electrolytes (sodium, potassium, etc.) and can trigger early labor. Call your OB now as at 31 weeks a delivery will result in a nicu baby (intensive care).
Possible. One of the more common causes of preterm premature rupture of membranes is infection, such as chorioamnionitis (infection of the placenta).
Yes. Infection is one of the major reasons for preterm birth and ruptured membranes.