What is the earliest gestational week that a premature baby can survive?

Written by Liu Wei Jie
Obstetrics
Updated on September 19, 2024
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Preterm infants, how many weeks can survive, first let's talk about the concept of preterm birth. The concept of preterm birth is more than 28 weeks but less than 37 weeks, this is called premature birth. However, with the improvement of neonatal resuscitation technology, in China, if it’s after 26 weeks, the vast majority of newborns can also survive. But after survival, the cost is quite high. For instance, if it's in a top-tier hospital, the cost for newborns born between 26 and 28 weeks can be around several hundred thousand yuan. So, even after some medical insurance policy reimbursements, you would still have to spend around tens of thousands of yuan on your own.

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Written by Du Rui Xia
Obstetrics
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Premature rupture of membranes caused by

The main cause of premature rupture of membranes leading to preterm birth is infection of the reproductive tract, including vaginitis and cervicitis. These inflammations can ascend along the vagina and uterus, affecting the amniotic membrane and leading to its damage, which causes premature rupture of the membrane. Therefore, women should receive timely treatment for any gynecological infections before or during pregnancy, and should not take them lightly. Additionally, high pressure in the amniotic cavity, such as with multiple pregnancies or excessive amniotic fluid, can exceed the tolerance of the amniotic membrane and cause it to rupture prematurely. Moreover, physical trauma to the mother, sexual intercourse during pregnancy with excessive movement, or improper amniocentesis can also lead to premature rupture of the membranes.

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Written by Zhao Li Li
Obstetrics
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Is it normal for a premature baby to weigh more than five jin?

If the newborn is currently premature and weighs a bit over five jin (approximately 2.5 kilograms), it is generally considered within the normal range. Typically, if a newborn weighs more than 2500 grams, it is considered a full-term birth weight and there are no abnormalities. Therefore, if the newborn's weight is within the normal range after birth and there are no abnormalities in the development of the organs, it is possible to observe temporarily without the need for an incubator. It is also crucial to closely monitor the various vital signs of the newborn and pay attention to normal feeding and care.

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Written by Zhao Li Li
Obstetrics
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What does it feel like when the cervix opens prematurely?

Under normal circumstances, if preterm labor is already confirmed and the cervix is fully dilated, it is generally considered inevitable and preparations for the active resuscitation of the newborn should be made. Typically, if the cervix is fully dilated due to preterm labor, regular abdominal pain may first occur along with discomfort in the lower abdomen, indicating strong uterine contractions. After the uterus contracts, this leads to continuous dilation of the cervix until it expands to ten centimeters. Once fully dilated, the next steps in treatment are carried out, closely monitoring the condition of the premature infant after birth and providing symptomatic medication if necessary.

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Written by Du Rui Xia
Obstetrics
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Causes of Premature Birth

There are many causes of preterm birth, such as cervical loosening during pregnancy, gynecological inflammations, underdeveloped uterus, congenital uterine malformations, and uterine fibroids, as well as pregnancy-related hypertension and diabetes, which can also lead to preterm labor. Additionally, carrying twins can increase uterine tension and potentially cause preterm birth. Other factors include long-distance travel, fatigue, emotional fluctuations, family relocation, abdominal trauma, prolonged standing, high psychological stress, advanced maternal age, and placental abruption during pregnancy, all of which can contribute to the occurrence of preterm birth.

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Written by Du Rui Xia
Obstetrics
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What are the signs of premature birth?

After 29 weeks of pregnancy, if the baby is born prematurely, it is called preterm birth. When preterm labor occurs, there are some early signs, mainly manifesting as the onset of abdominal pain, which is persistent and gradually worsens. Additionally, due to the contraction of the uterus, the abdomen becomes hard and localized muscle tension occurs, leading to a feeling of swelling. Moreover, when the amniotic fluid ruptures, the pregnant mother will feel a flow of liquid from the vagina and there will be an increase in intestinal activity compared to usual, along with some abnormal vaginal discharge. These are some of the signs of preterm labor.