Miscarriage
Preterm Labor
What is premature birth?
Miscarriage – childbirth between 20th and 37th weeks of pregnancy.
Full-term birth of a child going on 38-42 week, and babies, born before 37 weeks are considered premature.
Miscarriage – causes
In most cases, the cause of preterm labor is unknown.
Some cases of premature birth associated with premature rupture of membranes (PrPo). PrPo – rupture of amniotic membrane and chorion. It usually takes at least, one hour prior to the onset of labor.
Risk factors for premature birth
The probability of premature birth to the greatest among women 18 and older 35 years. Other factors, which may increase the likelihood of preterm birth include:
- Low socio-economic status;
- Lack of prenatal care and social assistance;
- Underweight or obese mothers before pregnancy;
- Physical, sexual or emotional abuse;
- Severe depression or anxiety;
- Diabetes;
- High blood pressure;
- Blood clotting;
- Hormonal Imbalance;
- Taking certain drugs for the treatment of health problems or exposure to diethylstilbestrol (OF);
- Smoking;
- Drug abuse;
- Alcohol consumption.
Complications of pregnancy, which can increase the risk of premature birth:
- Preэklampsiya;
- Mazolysis;
- Premature rupture of membranes;
- Incubation of more than one child;
- Uterine bleeding after 16 weeks, or for more than one trimester;
- Infections in the cervix, uterus, the vagina and the urinary tract, including sexually transmitted (STD);
- Pregnancy is one fruit after in vitro fertilization (IVF);
- The presence of unremoved IUD;
- Lack of cervical;
- Too much or too little fluid, Environmental baby;
- The operation on the stomach during pregnancy;
- Infection in the amniotic fluid;
- Intrauterine fetal death;
- Intrauterine growth retardation;
- Birth defects of the Child.
Other factors, associated with increased odds of preterm birth:
- The history of one or more spontaneous abortion after the second trimester of pregnancy;
- The interval between birth and the beginning of the next pregnancy for at least six months;
- Premature birth in the past;
- Hysteromyoma;
- The irregular shape of the uterus.
Symptoms of preterm labor
Symptoms can include premature birth:
- Abdominal pain, which is similar to menstrual cramps;
- A dull ache in the lower back;
- Pressure in the pelvis and thighs voltage;
- Vaginal bleeding, bloody or watery discharge.
Diagnosis of preterm labor
The doctor will ask about your symptoms and medical history, and perform a physical examination. He may recommend tests to check for cervical and membrane rupture. US will help the doctor see internal organs somtoyanie and child.
Liquids from the cervix and checked for signs of the onset of labor. In order to facilitate monitoring of uterine contractions in the abdomen can be placed tokometr.
Treatment of premature birth
Treatment will depend on the development of the child, especially the state of his lungs. If your doctor says, the baby is ready for birth, generations may be allowed to continue. If the child is not fully developed, your doctor may try to suspend deliveries. Stop giving birth is a complex process, and not always successful. Some embodiments suspension genera:
- Tocolysis – can delay delivery for several days;
- Corticosteroids – to help the baby's lungs to work properly;
- Antibiotics – If infection is suspected.
Prevention of premature birth
To reduce the risk of preterm birth:
- We need to get the proper prenatal care throughout pregnancy;
- Eat healthy, a balanced diet with plenty of fruits, vegetables and whole grains;
- Give up smoking, Alcohol and drugs;
- Keep under control of chronic diseases;
- Stay active during pregnancy;
- If you are at high risk of preterm birth, Consult with your doctor about progesterone therapy.
