Premature birth is what it means.

Written by Zhang Lu
Obstetrics
Updated on April 01, 2025
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Preterm birth refers to giving birth before full-term pregnancy, defined as delivery occurring between 28 and 36 weeks plus 6 days of gestation. Corresponding conditions are miscarriage and full-term delivery: before 28 weeks is termed a miscarriage, while delivery after 37 weeks is termed full-term birth. Because preterm infants already possess certain vital functions, most can survive with appropriate emergency intervention and treatment. However, the risks associated with preterm birth are relatively high and depend on the specific causes of prematurity. Some premature births are due to premature rupture of membranes, while others are medically induced, for example in cases of abruptio placentae or severe preeclampsia. Therefore, it is crucial in clinical practice to provide rational treatment for preterm labor, aiming to extend the duration of pregnancy as much as possible to avoid neonatal death.

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Written by Zhang Lu
Obstetrics
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Will early engagement of the fetus lead to premature birth?

Fetal engagement refers to the leading part of the fetus having entered into the woman's pelvis. There isn't a necessary correlation between fetal engagement and preterm birth; however, fetal engagement could indicate a possibility of preterm birth or an upcoming labor. It is important to pay attention to the timing of fetal engagement and the expectant mother's sensations post-engagement. Firstly, for the vast majority of pregnant women, fetal engagement should occur after week 32 or 34. Early engagement should prompt attention to the presence of other clinical symptoms. Secondly, be mindful if there are feelings of descent or abdominal pain after the fetal engagement. Regular checks of the cervical canal length should be conducted if these sensations frequently occur. If the cervical canal is progressively shortening, it may suggest a risk of preterm birth. If there is no shortening of the cervical canal, it means that the fetal engagement and these clinical symptoms are unlikely to cause preterm birth.

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Written by Du Rui Xia
Obstetrics
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Is premature birth hereditary?

Premature birth is not hereditary. There are many causes of premature birth, including reasons associated with the pregnant woman herself, such as hypertension and diabetes during pregnancy, as well as concurrent conditions like chronic nephritis and hyperthyroidism, which can lead to premature birth. Additionally, premature birth can be caused by a relaxed cervix, poor uterine development, congenital uterine malformations, and uterine fibroids. Furthermore, trauma to the abdomen during pregnancy, long-distance and prolonged travel, fatigue, and excessive emotional fluctuations can also lead to premature birth. Therefore, these factors related to premature birth are not associated with genetics.

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Written by Zhao Li Li
Obstetrics
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Does premature birth hypoxia affect intelligence?

Under normal circumstances, if a preterm infant suffers from hypoxia, severe cases may have an impact on future intelligence. However, if preterm infants experience hypoxia after childbirth, they generally receive oxygen therapy, which also affects their intelligence to some extent. Therefore, in daily life, it is still necessary to strengthen the care of preterm infants, adjust their diet, and after oxygenation, appropriately supplement DHA and other substances that can promote brain development and effectively improve issues such as delayed brain development in infants and toddlers.

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Written by Du Rui Xia
Obstetrics
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Is placenta previa likely to lead to preterm birth?

Placenta previa refers to the condition where, after 28 weeks of pregnancy, the placenta reaches or covers the internal opening of the cervix. There are multiple causes for placenta previa, and its occurrence does not necessarily lead to preterm birth. Clinically, placenta previa mainly results in irregular vaginal bleeding, which increases the risk of preterm birth. Therefore, it is recommended that regular prenatal visits be conducted at a hospital when placenta previa occurs. Treatment measures should be taken based on the specific condition of the placenta, and treatment to preserve the pregnancy may be necessary at times. In cases of placenta previa, it is advisable to rest in bed as much as possible and avoid strenuous activities.

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Written by Liu Wen Li
Obstetrics
42sec home-news-image

How is preterm birth defined?

Premature birth means that the gestational period is not yet complete, and the baby is born before reaching full term, which is called preterm birth. Specifically, this ranges from more than 28 weeks but less than 37 weeks of gestation. Due to the incomplete development of premature infants, their organ functions are relatively poor. Therefore, caring for premature infants can be more challenging, often requiring pediatric care and enhanced nursing. Moreover, there are more complications, so it is important to try to prevent premature births as much as possible.