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Premature labour & premature birthPPremature labour & premature birthPremature labour & premature birthEnglishPregnancyAdult (19+)Body;UterusReproductive systemNAPrenatal Adult (19+)NA2009-09-11T04:00:00ZNicolette Caccia, MEd, MD, FRCSCRory Windrim, MB, MSc, FRCSCAndrew James, MBChB, MBI, FRACP, FRCPC12.000000000000039.00000000000001537.00000000000Flat ContentHealth A-Z<p>Learn about the signs, causes, risk factors, and ways of preventing premature labour, as well as the stages of premature labour.</p><p>Preterm birth, or premature birth, is usually an unplanned event. Depending on the causes of the birth and how premature the baby is, it may also be an emergency. This section explores the causes of premature birth, the signs of premature birth, and strategies to delay premature birth. </p><h2>Key points</h2> <ul><li>Premature labour can be caused by placental abruption, incompetent cervix, hormonal changes or infection.</li> <li>To help prevent premature labour, quit smoking before pregnancy, avoid alcohol and recreational drugs, eat a well-balanced diet and minimize stress.</li> <li>Cramping or contractions, sharp or prolonged stomach pain or bright red blood from vagina between 20 to 37 weeks are some of the signs of premature labour.</li> <li>Babies born prematurely may need to be treated at a hospital that provides specialty or subspecialty services.</li></ul>
Travail prématuré et accouchement prématuréTTravail prématuré et accouchement prématuréPremature labour & premature birthFrenchPregnancyAdult (19+)Body;UterusReproductive systemNAPrenatal Adult (19+)NA2009-09-11T04:00:00ZNicolette Caccia, MEd, MD, FRCSCRory Windrim, MB, MSc, FRCSCAndrew James, MBChB, MBI, FRACP, FRCPC12.000000000000039.00000000000001537.00000000000Flat ContentHealth A-Z<p>Apprenez-en davantage sur les signes, les causes, les facteurs de risques et les façons de prévenir le travail prématuré ainsi que sur les étapes du travail prématuré.</p><p>La naissance avant terme ou l'accouchement prématuré est habituellement un événement inattendu. Selon les causes de la naissance et le degré de prématurité du bébé, il pourrait également s'agir d'une urgence. La présente section explore les causes à l'origine d’une naissance prématurée, les signes d'un accouchement prématuré et les stratégies pour retarder l'accouchement prématuré.</p><h2>À retenir</h2> <ul><li>Le travail prématuré peut être causé par une abruptio placentae, une béance du col de l’utérus, des changements hormonaux ou une infection.</li> <li>Afin de prévenir le travail prématuré, cessez de fumer avant la grossesse, évitez l’alcool et les drogues à usage récréatif, ayez une alimentation équilibrée et minimisez le stress.</li> <li>Certains symptômes de travail prématuré comprennent des crampes ou de la contraction, des douleurs aiguës et prolongées à l’estomac ou du sang rouge vif provenant du vagin au cours de la 20e à la 37e semaine.</li> <li>Les bébés nés prématurément pourraient devoir être soignés dans un hôpital qui offre des services spécialisés ou ultraspécialisés.</li></ul>

 

 

Premature labour & premature birth410.000000000000Premature labour & premature birthPremature labour & premature birthPEnglishPregnancyAdult (19+)Body;UterusReproductive systemNAPrenatal Adult (19+)NA2009-09-11T04:00:00ZNicolette Caccia, MEd, MD, FRCSCRory Windrim, MB, MSc, FRCSCAndrew James, MBChB, MBI, FRACP, FRCPC12.000000000000039.00000000000001537.00000000000Flat ContentHealth A-Z<p>Learn about the signs, causes, risk factors, and ways of preventing premature labour, as well as the stages of premature labour.</p><p>Preterm birth, or premature birth, is usually an unplanned event. Depending on the causes of the birth and how premature the baby is, it may also be an emergency. This section explores the causes of premature birth, the signs of premature birth, and strategies to delay premature birth. </p><h2>Key points</h2> <ul><li>Premature labour can be caused by placental abruption, incompetent cervix, hormonal changes or infection.</li> <li>To help prevent premature labour, quit smoking before pregnancy, avoid alcohol and recreational drugs, eat a well-balanced diet and minimize stress.</li> <li>Cramping or contractions, sharp or prolonged stomach pain or bright red blood from vagina between 20 to 37 weeks are some of the signs of premature labour.</li> <li>Babies born prematurely may need to be treated at a hospital that provides specialty or subspecialty services.</li></ul><h2>Causes of premature labour</h2><p>Premature birth can have many causes which include problems with the unborn baby, the mother, or both. Premature birth most frequently comes as a result of the onset of premature labour, specifically, a premature rupture of the fetal membranes, or a condition called incompetent cervix, where the cervix opens up before the time that it should. </p><p>Certain events can stimulate the onset of premature labour. These include:</p><ul><li>placental abruption, where the placenta separates from the uterus during pregnancy </li><li>incompetent cervix, where the cervix painlessly and gradually opens before the time it is supposed to </li><li>hormonal changes, which can cause stress in the unborn baby or mother </li><li>infection </li></ul><h2>Risk factors for premature labour</h2><p>There are a number of factors that can put a pregnant woman at higher risk for having a premature labour and delivery. If you had a previous premature labour, your chance of having another premature labour increases two and a half times. That rate jumps to 10 times if your previous premature labour occurred before the 28th week of pregnancy. It is important for you and your health-care provider to keep this in mind, so that they can provide you with appropriate care throughout your pregnancy. </p><p>Another major risk factor for premature labour and delivery is being pregnant with twins or multiple babies. The rate of twins and multiple babies has increased over the past few years, mostly because of the use of fertility drugs and other assisted reproduction techniques. About half of all twins deliver at 36 weeks or less. Half of triplets deliver before 32 weeks. Many mothers of twins and multiple babies go into premature labour spontaneously. Others may need to have premature labour induced because of complications during pregnancy. </p><p>One important risk factor is infection. Some types of infection that can result in premature birth are as follows:</p><ul><li>Untreated urinary infections: These double the risk for premature birth. Urinary infections are screened at each medical visit, and can be treated with antibiotics. </li><li>Bacterial vaginosis: These also double the risk for premature birth. The main symptom of vaginosis is a light or heavy vaginal discharge with a slight "fishy" smell. Vaginosis is treated with antibiotics. </li></ul><p>There are a number of other risk factors for premature labour and delivery. Some of these risks, such as anemia, slow maternal weight gain, stressful work habits, smoking, drinking alcohol, and using drugs like cocaine, can be rectified during pregnancy. Some risk factors, such as structural abnormalities of the uterus, can be corrected with surgery before becoming pregnant. </p><p>Other risk factors for premature birth include age under 17 years or over 40 years, prior multiple abortions, and low pre-pregnancy weight. </p><p>Knowing these risks can help you and your health-care provider determine whether you will need special care to prevent premature labour. If you are at high risk of going into premature labour, your health-care provider can take special precautions to ensure the best outcomes for you and your baby. </p><h2>Preventing premature labour</h2><p>Although there are some risk factors that you cannot change, there are a few general ways in which you can reduce your odds of having a premature birth. These involve behaviours that encourage a healthy pregnancy. </p><ul><li>Quit smoking before your pregnancy or as early as you can during pregnancy. </li><li>Avoid drinking alcohol and using recreational drugs. </li><li>Advise your health-care provider of all medications that you are taking, because some may be harmful to your pregnancy and might need to be phased out. </li><li>Maintain an adequate amount of weight gain throughout your pregnancy, depending on what your health-care provider thinks is right for you. </li><li>Eat a nutritious and well-balanced diet. Nutrition and optimal prenatal care are especially important if you are under age 17 years, over 35 years, or carrying twins or multiple babies. </li><li>Avoid heavy lifting and work, and standing for long periods of time. </li><li>Minimize the stress in your life whenever possible, and deal with stress using relaxation techniques, exercise, nutrition, and rest. </li><li>Avoid infections as much as possible. </li><li>If you have a history of premature birth caused by structural abnormalities of the uterus, these abnormalities may be corrected with surgery before you become pregnant. </li><li>Premature delivery due to incompetent cervix can be reduced with a surgical procedure that closes the cervix from the 14th week of pregnancy until the ninth month. </li><li>Some chronic maternal illnesses can lead to premature birth if they are not treated properly during pregnancy. They need to be appropriately managed during pregnancy. </li><li>If your health-care provider thinks you are high risk for premature labour, they may suggest that you refrain from having sexual intercourse. </li></ul><h2>Signs of premature labour</h2><p>There are a number of signs of what might be the onset of premature labour. If you experience any of these signs between weeks 20 to 37 of your pregnancy, consult your health-care provider right away or proceed to your nearest labour and delivery department. </p><ul><li>any cramping or contractions </li><li>low, dull backache </li><li>sharp or prolonged pain in the stomach </li><li>a sudden gush or just a trickle of clear, watery fluid from the vagina </li><li>intense pelvic pressure </li><li>bright red blood from the vagina </li></ul><p>Some women may experience the signs of labour 25 weeks into their pregnancy and be convinced that they are having false labour because it seems too early. Moreover, the onset of premature labour may have no symptoms at all. </p><h2>Delaying premature labour</h2><p>Sometimes a premature delivery can be delayed until the baby has grown more and therefore is better able to survive outside the womb. Usually, every effort is made to prolong the pregnancy until at least 34 weeks gestation. Every extra day a child spends in the womb diminishes the chance of complications for the premature baby. </p><p>Delaying premature labour may not always be possible. Although some women may know they are at risk for premature birth, for example, women carrying twins or triplets, most premature births happen unexpectedly. By the time it is realized that premature labour is happening, it may be too late to do much. </p><p>Certain drugs called tocolytic agents may be given to suppress the contractions in an effort to prolong the pregnancy and improve the newborn’s chances of survival. Once the contractions have been stopped with the tocolytic agent, the woman remains at high risk for having another episode of premature labour, and is thus monitored closely. </p><p>If a woman is high risk for premature birth, she may be given a drug called a corticosteroid during pregnancy. The corticosteroid reduces the chances that the premature baby will have respiratory distress syndrome or intraventricular hemorrhage, a condition where there is bleeding into the ventricles of the brain. It is generally recommended that all women at risk for premature birth be given corticosteroids during pregnancy. </p><h2>Premature birth</h2><p>In general, the more immature the unborn baby, the greater the risks from labour and delivery. Roughly speaking, if premature labour can be held off until the 34th week of pregnancy or later, delivery will proceed in a similar fashion as a normal delivery. The delivery may need to take place in a hospital that provides specialty services, where specialists will be on hand to monitor the labour and delivery, as well as the baby after they are born. During labour and delivery, the baby's heart rate and the contractions of the uterus will be monitored. </p><h2>Premature babies</h2><p>Babies born prematurely may need to be treated at a hospital that provides specialty or subspecialty services. Some hospitals that provide specialty services have neonatal intensive care units (NICUs) with doctors called neonatologists who specialize in the care of newborn babies. Hospitals that provide subspecialty services also have NICUs and neonatologists. </p><p>Premature babies face a number of challenges after birth, because their organs are immature. Common physiological challenges include problems with their breathing, circulation, digestion, and brain and behaviour. They also face an increased risk of infection. However, with proper medical care, the majority of premature babies develop into healthy children. </p> <br>https://assets.aboutkidshealth.ca/AKHAssets/premature_labour_birth.jpgPremature labour & premature birth

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