Signs of premature birth

Written by Zhang Lu
Obstetrics
Updated on December 31, 2024
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Preterm birth refers to childbirth occurring between 28 and 36 weeks plus six days of pregnancy. The signs of preterm birth include the following aspects.

First, regular contractions occur, generally defined as four contractions within 20 minutes or eight contractions within 60 minutes.

Second, there may be a small amount of "show," mainly due to minor bleeding caused by the separation of the fetal membrane from the uterine wall.

Third, many women experience a significant feeling of heaviness in the lower abdomen, which is caused by the descent of the fetal head.

Fourth, upon examination, it can be found that the cervical canal has shortened and the cervical opening has dilated.

When the above symptoms occur, there should be a high suspicion of the risk of preterm birth, and medications should be used promptly as an intervention to try to avoid the occurrence of preterm birth.

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Written by Zhang Lu
Obstetrics
1min 7sec home-news-image

Is excessive amniotic fluid likely to cause premature birth?

Polyhydramnios is relatively common during pregnancy and can have a certain impact on the fetus. There are many reasons that can cause polyhydramnios, but regardless of the cause, polyhydramnios tends to lead to preterm birth. When there is an excessive amount of amniotic fluid, it puts significant pressure on the amniotic sac, which can easily lead to premature rupture of membranes. Premature rupture of membranes itself can stimulate the cervix, release inflammatory mediators, thereby causing contractions and symptoms of preterm labor. After the membranes rupture prematurely, infection within the uterine cavity is likely to occur, generally meaning that the possibility of keeping the pregnancy going for a long duration is unlikely. Therefore, polyhydramnios is associated with a higher risk of preterm labor. In clinical practice, if excessive amniotic fluid is detected during prenatal check-ups, it is advised to control the diet, engage in appropriate physical activities, or use other methods to keep the amniotic fluid level within the normal range.

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Written by Zhao Li Li
Obstetrics
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Does a low-lying placenta cause preterm birth?

In cases of placenta previa, there is also a certain risk of preterm birth. Generally, in the late stages of pregnancy, a persistent low-lying placenta may have some impact on the development of the placenta and embryo. Excessive physical activity or normal daily activities may cause abnormal vaginal bleeding. Long-term blood clots pressing on the cervix can also promote cervical dilation and lead to preterm birth. Therefore, it is generally necessary to rest in bed and avoid excessive exercise after placenta previa occurs, in order to reduce the risk of bleeding.

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Written by Du Rui Xia
Obstetrics
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Can premature birth be natural delivery?

Whether a vaginal delivery is possible in the case of preterm labor depends on the condition of the pregnant woman and the fetus, including the woman's birth canal, labor strength, the size and position of the fetus, among other factors. Generally, during a medical visit, a doctor will measure the woman's pelvis to roughly determine whether vaginal delivery is feasible. Women who experience preterm labor should go to the hospital for timely medical care and choose a hospital equipped for emergency services. If preterm delivery occurs, the baby's respiratory function may be relatively weak, necessitating the use of special equipment to assist breathing.

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Written by Zhao Li Li
Obstetrics
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How many months premature can survive?

Premature infants are those born between 28 and 37 weeks of gestation. Due to the incomplete development of various organ functions, premature infants are prone to a range of complications after birth, which can be severe and may even lead to death. Generally, the survival rate of premature infants is higher if they reach at least seven months, or 28 weeks, of gestation. If premature birth is inevitable, it is recommended to seek medical care at a qualified institution with specialized neonatal resuscitation wards to enhance the chances of the infant's survival. Generally, the chances of survival significantly increase when care is received at such medical facilities.

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Written by Liu Wei Jie
Obstetrics
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Do contractions easily lead to premature birth?

There are two types of contractions. The first type is false labor contractions, which occur in the late stages of pregnancy. They generally happen more in the evening or afternoon and disappear in the morning. The true labor contractions are regular and intensify in waves, accompanied by an increase in vaginal discharge or spotting. If it's false labor, rest can usually improve the condition, and it's not a concern. However, some people, due to extreme anxiety, may experience frequent false labor contractions. In such cases, our general approach is still to recommend treatment for pregnancy maintenance. If it's true labor, there is definitely a possibility of premature birth.