Preterm Labor
Care for preterm labor, including stopping premature labor
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What You Should Know About Preterm Labor
Beth Israel Deaconess Medical Center (BIDMC) provides complete prenatal care for pregnant moms and babies. This includes care for preterm labor, which can lead to premature birth.
Preterm labor occurs before 37 weeks of pregnancy. This includes regular contractions that result in cervical change, such as dilation (opening of the cervix) or effacement (thinning of the cervix) in preparation for birth. In general, doctors work to avoid preterm labor because babies born preterm have an increased risk of these and other medical complications:
- Underdeveloped lungs
- Low birth weight
Risk Factors for Preterm Birth
Factors that can increase your risk for preterm birth include these and others:
- Preterm prelabor rupture of membranes, or PPROM (water breaking too early)
- Substance use disorder
Preterm Labor Prevention
If you have an increased risk for preterm labor, working to prevent it is the most important part of your prenatal care. Central to preventing early labor is your provider’s commitment to educating you and maintaining close contact.
It is critical that you understand what you can do to keep yourself healthy. Your care team will also educate you on how to know — as early as possible — if you are experiencing early labor. Your provider will recommend frequent visits and maintain communication by phone.
Signs & Symptoms of Premature Labor
If you’re at an increased risk for preterm labor, be aware of the signs and symptoms. In addition, your provider can teach you how to feel your uterus to know if you’re having contractions. Here are the most common signs and symptoms of early labor:
- Frequent lower abdominal tightening
- Menstrual-like cramps
- Pelvic pressure
- Persistent lower backache
- Spotting blood
- An increase in the amount, consistency or color of vaginal discharge
If you notice any of these signs, contact your prenatal provider right away or go to the closest emergency department.
Preterm Labor Treatment
If your provider has diagnosed you with preterm labor, your treatment may involve these steps:
- Immediate bed rest
- Lying on your left side
- Drinking extra fluids
- IV hydration
- Medication (tocolytics) to stop uterine contractions
- Cervical cerclage (stitching the cervix closed to keep it from opening too early)
If you’re in preterm labor, we may admit you to the antepartum unit in the hospital for close observation. If you experience PPROM, you are at risk of premature birth. We may admit you to the hospital for close monitoring.
It’s important to know that not all expecting moms who experience preterm contractions will have a preterm delivery.
World-Class NICU Care
If your baby is born too early, BIDMC’s newborn intensive care unit (NICU) offers the highest level of specialized care available. You can rest assured that your baby will receive the very best care for any health issues that may arise.
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