tiny little monsters

Premature Labour

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It is estimated that around seven per cent of babies in the UK are born prematurely that is before 37 weeks. There's often little risk for the mother, but the implications for the baby can be varied.

Causes

It is worth mentioning that in around 40% of cases of premature birth, the cause is unknown. Other causes include:

  • Pre-eclampsia
  • Multiple pregnancy
  • Antenatal haemorrhage
  • Illness in the mother, such as diabetes, high blood pressure or heart disease
  • Cervical incompetence
  • Foetal abnormalities or death

There are more recent studies that would seem to suggest that stress, especially where it is brought on suddenly, can be seen to induce premature labour. There are certain infections such as gonorrhoea and group B streptococci that have been linked with the onset of premature labour. The risk from these infections can be minimised by screening for and treating such infections with antibiotics.

Treatment

The plain fact is that methods of halting labour once it has begun are often unsuccessful, the methods used often including drugs to stop contractions, ties to keep the cervix from dilating and antibiotics to treat infection. More often than not the methods fail but that is not to say that they are useless, most methods give the medical staff precious time to help the baby prepare for birth by administering drugs that mature the babies lungs and give them a better chance at survival.

Complications

In most cases babies born after 34 weeks only have a low risk of problems because their systems have almost completely matured and labour is usually allowed to continue.

When a baby is born under 28 weeks they need to be delivered in a hospital with a neonatal intensive care unit (NICU). Their survival hopes have improved and some babies born as early as 22 weeks have survived, unfortunately these babies are at risk of many significant long-term problems.

Prevention

In most cases there is little a pregnant woman can do to prevent premature labour, but it is suggested that you may be able to reduce your risk if you:

  • Attend all your midwife appointments to ensure that your pregnancy is developing properly
  • If you are still smoking, stop!
  • Get vaginal infections or discharge treated immediately
  • Tell a medical professional if you develop symptoms such as swollen ankles, blood loss or fluid loss
  • Try not to gain too much weight try to keep fit and healthy
  • Try to avoid excessive stress (easier said than done!)

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