Does placenta previa cause preterm birth?

Written by Du Rui Xia
Obstetrics
Updated on February 01, 2025
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When a placenta previa occurs, it is likely to lead to premature birth. Placenta previa is a condition where, after 28 weeks of pregnancy, the placenta is positioned low in the uterus, often below the presenting part of the fetus, and attaches to the lower segment of the uterus or near the internal os of the cervix. In the late stages of pregnancy, dilation of the cervix can cause the placenta to be misaligned with the uterine wall, leading to recurrent, painless bleeding. When the bleeding reaches a certain amount, it can easily lead to premature separation of the placenta, inducing uterine contractions and the onset of premature birth. In cases of placenta previa with significant vaginal bleeding, it is necessary to terminate the pregnancy promptly.

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What are the symptoms of preterm labor?

According to the current situation, generally, embryos delivered between 28 to 37 weeks of cessation of menstruation are considered preterm. Under normal circumstances, if there is already regular abdominal pain accompanied by abdominal bloating and uterine contractions, it is generally considered whether there is a possibility of threatened miscarriage. Normally, frequent uterine contractions and abdominal hardening can stimulate cervical dilation, which generally may lead to preterm birth. Therefore, these are the signs of preterm labor. If regular abdominal pain occurs and persists for several hours without relief, it is advisable to seek medical attention promptly for treatment to prevent premature birth.

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

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 Zhang Lu
Obstetrics
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Definition of premature birth date

Premature birth, compared to miscarriage and full-term birth, is defined differently. A miscarriage refers to childbirth before 28 weeks, and a full-term birth is one that occurs after 37 weeks. Births that occur between 28 weeks and 36 weeks plus 6 days are collectively referred to as premature births. During this period, the fetus is relatively larger and has a certain level of maturity, so the survival rate is relatively high. However, it still falls short when compared to full-term infants. Generally, 34 weeks is used as a boundary: infants born from 28 to 34 weeks are referred to as early preterm, while those born between 34 weeks and 36 weeks plus 6 days are considered late preterm. Therefore, premature births are divided into these two main categories. In clinical practice, if there are signs of premature birth, it is recommended to try to extend the gestational age and aim for childbirth during the late preterm period.

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Premature birth is what it means.

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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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.