Preterm Labor

Labor that starts early before 37 weeks of pregnancy is referred to as preterm or premature labor. Fetal development during a typical pregnancy lasts roughly 40 weeks. 37 weeks is considered “at term” for a pregnancy; anything less than that is considered preterm. Your body goes through labor as a way to get ready for childbirth. The tightening of uterine muscles during contractions and the rupture of membranes, or breaking of the water, are common indicators of labor. Your cervix, the lowest point of your uterus, may open (dilate) earlier than usual if you are going through premature labor.

Premature birth, or being born early, can be caused by preterm labor. To give the fetus additional time to grow and develop inside the uterus, labor can frequently be stopped. Premature labor can be prevented by bed rest, intravenous (in your vein) fluids, and uterine relaxants.

Sometimes, before the fetus reaches term, childbirth is induced. This usually occurs when the delivery is necessary for a medical reason. Fetal growth limitation, placental abruption, and preeclampsia. High blood pressure during pregnancy is an example.

Signs and symptoms

Preterm labor symptoms and indicators include:

  • Consistent or recurrent contractions or tightness in the abdomen
  • persistent severe back pain
  • a lower abdominal or pelvic pressing sensation
  • mild cramping in the abdomen
  • Spots of mild bleeding in the vagina
  • Preterm rupture of the membranes: a rush or persistent trickle of fluid following a crack or rip in the membrane around the baby
  • a shift in the kind of vaginal discharge, such as bloody, mucus, or watery

Causes of preterm labor

Preterm labor can be caused by a variety of reasons. There are certain things you can control and others you can’t.

The following three risk factors increase your likelihood of experiencing early labor:

  • You previously gave birth to a preterm child.
  • You are expecting triplets, twins, or more.
  • You currently experience issues with your uterus, cervix, or vagina, or you have in the past.

How is preterm labor diagnosed?

Your cervix is examined by the best gynecologist to diagnose premature labor. You can be in preterm labor if your cervix is dilated (open) and effaced (thinned). Along with a pelvic exam, your gynecologist might also do the following:

Ultrasound: An ultrasound can be used to check for placental or amniotic fluid issues as well as to measure the size and position of the fetus inside your uterus.

Measure your contractions: Your healthcare provider might connect you to a device that tracks and logs your contractions.

Fetal fibronectin test: To check for fetal fibronectin, your doctor will collect a sample of your vaginal fluid. This protein aids in the amniotic sac’s attachment to your uterus. It may indicate that labor has started if it’s in your discharge.

How do Madurai's gynecologists handle preterm labor?

You may require medication to halt or stop labor if you are at an early stage of the process. If labor has accelerated and cannot be halted, your gynecologist might have to deliver the baby sooner than expected. If the fetus is born prematurely, there are also drugs to support its organs and lungs. Our gynecologist will assess:

  • The number of weeks you are pregnant.
  • if the birth of the fetus is safe.
  • The cause of your possible early labor (e.g., an infection, placental problems, or medical conditions).

When should you discuss preterm labor with our gynaecologist?

Should you observe any of the following indications of premature labor, get in touch with your gynecologist right away:

  • hemorrhage or abnormal vaginal discharge (leaking of fluid).
  • cramps or contractions, whether or whether there is diarrhea.
  • lower back ache that is persistent.
  • pressure in the abdomen or pelvis.
  • Your “breaking of water.”

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