Preterm labor is labor that starts before 37 weeks of pregnancy. This can lead to premature birth, which may put the baby at risk for a variety of health complications, including breathing problems, feeding issues, and long-term developmental concerns.
Who Is at Risk for Preterm Labor?
The exact cause of preterm labor is not fully understood. However, certain factors may increase risk, including:
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Smoking during pregnancy
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Being under age 25 or over age 35
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A history of preterm birth
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Having a short cervix or other cervical issues
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Carrying multiples (twins, triplets, etc.)
Women who have already experienced a preterm birth are also more likely to go into preterm labor again.
Methods to Delay Preterm Labor
While there is no way to completely stop preterm labor once it has begun, there are treatments that may help delay delivery or slow contractions, giving the baby more time to develop.
Medications for prevention may include:
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Progesterone: If you have a history of preterm delivery, your doctor may recommend weekly progesterone injections (hydroxyprogesterone caproate) starting in the second trimester and continuing until 37 weeks. Vaginal progesterone may also be recommended, especially if a short cervix is detected before week 24.
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Corticosteroids: For women between 23 and 34 weeks of pregnancy who are at increased risk of preterm delivery, corticosteroids may be given to help promote the baby’s lung maturity.
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Magnesium sulfate: This may be recommended for women at high risk of delivering between 24 and 34 weeks, as it can reduce the risk of cerebral palsy in the baby.
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Tocolytics: If you are experiencing premature contractions, a tocolytic may be prescribed for up to 48 hours to help slow contractions. This allows time for other treatments, such as corticosteroids, to take effect.
What to Do if You Suspect Preterm Labor
Not all contractions mean that labor has started. Braxton Hicks contractions are common and often do not indicate that your cervix is opening. If you experience contractions that may be early labor symptoms, try moving, resting, or changing positions.
However, seek medical care immediately if you experience:
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Contractions that don’t stop with rest or hydration
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Vaginal bleeding or fluid leakage
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Pelvic pressure or persistent back pain
It is always best to contact your healthcare provider right away if you are unsure.
Schedule a Consultation
If you are concerned about preterm labor or want to learn more about prevention, Dr. Alex Tepper and our team are here to help. Our goal is to provide professional, empathetic care to support a healthy pregnancy and delivery.
Contact our office today to schedule a consultation and discuss personalized care options for preterm labor prevention.
BOOK AN APPOINTMENT
Whether you are a new or returning patient, Dr. Tepper can assess your concerns and discuss your options to find the most comfortable and convenient care for you. To get started, call our office to set up an appointment.
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