Preterm Labor A Pregnancy Complication
If a woman is pregnant and she has regular contractions
and the cervix dilates before her 37th week of pregnancy, she
is said to be in preterm labor. Preterm labor is usually a
spontaneous event in which the body starts the process.
Occasionally a caregiver (doctor, midwife) will initiate
preterm labor in order to deliver the baby early if there is a
pregnancy complication that puts the baby or mother at
risk.
Spontaneous preterm labor can be caused by cervix
complications, by an abnormal placenta, a genital tract
infection, by bacteria that causes the amniotic sac to become
weak leading to premature rupture of the bags, or when chronic
illness of the mom-to-be threatens the pregnancy. Chronic
illnesses such as severe asthma, diabetes, or sickle cell
anemia.
Other risk factors for preterm labor include alcohol or drug
use, smoking tobacco products, poor weight gain or
malnutrition. Although there are risks for preterm labor only
approximately 50% of women who experience it fall into any of
these risk areas, so preterm labor can happen to any pregnant
woman. There are however three groups of pregnant women who are
at greater risk for preterm labor and those groups are those
who have had a previous preterm birth, those who are pregnant
with twins, triplets or higher order multiples, and those women
who have certain cervical or uterine abnormalities.
Women may also be at risk for pre-term labor if they have a
periodontal disease, or suffer from an infection, have a
hormonal imbalance, incompetent cervix, uterine irritability,
placenta previa, teen pregnancy, or maternal age over 40.
Sometimes an abnormality of the fetus can trigger preterm
labor. If a woman gets pregnant after having a previous preterm
labor she is more likely to have a repeat experience of preterm
labor with this and subsequent pregnancies.
All pregnant women should become familiar with the signs and
symptoms of preterm labor. If a woman can detect preterm labor
early enough, premature birth can be prevented. There are the
warning signs of premature labor that all pregnant women should
know:
A sudden gush of clear watery fluid coming from the vagina or
an increase in the amount of vaginal discharge can signal
preterm labor. If you experience any kind of bleeding
especially when cramping or contractions of more than 5 in one
hour accompany it you may be in preterm labor. Other warning
signs of preterm labor may be pressure in your pelvic region,
low back pain or pressure in the lower back, puffiness or a
swelling of the hands or face, and also vomiting.
Preterm labor is a complication of pregnancy because it can
end pregnancy before the baby is ready to survive in the
outside world. Preterm labor can lead to prematurity and for
the baby this means a lifetime of possible physical, mental and
emotional challenges.
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