Causes of Premature Birth

Written by Du Rui Xia
Obstetrics
Updated on September 27, 2024
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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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Signs of premature birth

Generally, babies born between 28 and 37 weeks of gestation are considered premature. Normally, premature babies have underdeveloped organ systems, which makes them prone to serious abnormalities in various organs after birth. This can lead to conditions such as respiratory distress syndrome or cerebral palsy. Signs of premature labor typically include sudden regular abdominal pain without any other abnormalities, accompanied by clear uterine contractions and a feeling of abdominal heaviness, with a persistent, notable dilation of the cervix.

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Do frequent Braxton Hicks contractions lead to preterm labor?

In the late stages of pregnancy, there may be occurrences of Braxton Hicks contractions, generally happening at a low frequency of about two to three times per day. Some individuals experience these false contractions primarily at night, which disappear during the day. This is considered normal physiological behavior in the late stages of pregnancy. If there is a frequent occurrence of Braxton Hicks contractions, it may also lead to the dilation of the cervix, causing premature labor. Therefore, if this situation arises and the fetus is not yet full-term, it is recommended to go to the hospital for an examination in a timely manner, and symptomatic treatment to maintain the pregnancy may be necessary.

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Is a posterior placenta more likely to lead to premature birth?

The placenta is divided into anterior and posterior walls, with the posterior wall being a normal location for the placenta, which is unrelated [to preterm birth]. Generally, there is a hereditary tendency for preterm birth, and it is more likely to occur in individuals with certain physical constitutions or in cases of twin pregnancies. Additionally, people with gestational diabetes are also prone to preterm birth. Therefore, the posterior wall of the placenta has no correlation with preterm birth. Conditions like placenta previa or premature placental detachment are placental positions that can lead to preterm birth issues, and some people may experience preterm birth under these circumstances.

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Written by Zhao Li Li
Obstetrics
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What are the signs of premature birth?

Under normal circumstances, during preterm labor, there may first be regular uterine contractions accompanied by continuous cervical dilation. This situation should be considered a possible onset of preterm labor. Generally, the period from after 28 weeks to before 37 weeks of gestation is considered the possible range for preterm labor to occur. Therefore, if there are symptoms like regular abdominal pain, backache, or a feeling of heaviness, it is necessary to seek medical attention promptly. When needed, local physical therapy, symptomatic treatment, or administration of medications to sustain the pregnancy can effectively alleviate the symptoms.

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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.