Is low amniotic fluid likely to lead to premature birth?

Written by Du Rui Xia
Obstetrics
Updated on January 20, 2025
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During pregnancy, if there is a reduction in amniotic fluid, it is easy for premature delivery to occur. Insufficient amniotic fluid can cause fetal hypoxia in the uterus, which may lead to frequent fetal movements and stimulate uterine contractions, resulting in premature birth. When there is a reduction in amniotic fluid, it is important to replenish it in a timely manner. This can be done by drinking more water, intravenous fluid infusion, or directly injecting saline into the amniotic cavity. To determine the best method to replenish the amniotic fluid, it is advisable to seek treatment under the guidance of a doctor and to closely monitor changes in fetal heart rate and movements.

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Written by Liu Wei Jie
Obstetrics
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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 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.

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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 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 Zhang Lu
Obstetrics
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Will swollen feet during pregnancy lead to premature birth?

Swelling of the feet is a common clinical symptom after pregnancy, but generally, foot swelling is not directly related to preterm birth. However, sometimes, if pathological factors cause foot swelling, it may lead to preterm birth. The most common cause of foot swelling during pregnancy is the increased size of the uterus compressing the veins and arteries in the pelvis, causing obstruction of venous return, which leads to swelling of the feet. However, this is a physiological change and does not cause preterm birth. Pathological factors, such as hypertension during pregnancy or renal diseases during pregnancy, might cause generalized edema. If the condition is severe, medical intervention for medically induced preterm birth may be required. However, it is the primary disease that causes preterm birth, not the swelling of the feet.