Preterm births are contractions that occur too early before the 37th week of pregnancy. If you have preterm labor, your doctor may recommend certain treatments that can help stop your contractions and prevent health problems for you and your baby. They are not guaranteed, but research shows that they help some people. Here is some information to help you prepare for your appointment and what to expect from your doctor. Progesterone injections – If you have had a premature birth with only one baby and are pregnant with a singleton again, you may be offered progesterone injections from the 16th to the 24th week of pregnancy. This hormone can help prevent further preterm births. These registrations usually continue weekly for up to 36 weeks, unless delivery is earlier. Tocolytics. These medications can be used to slow or stop contractions in labor.
There are several types, including: tocolytics. Your doctor may give you a medicine called a tocolytic to temporarily slow down your contractions. Tocolytics can be used for 48 hours to delay preterm labor so that corticosteroids can provide maximum benefit or, if necessary, you are transported to a hospital that can provide special care to your premature baby. It can be difficult to stop preterm labor, especially if the cervix has already begun to dilate. Thus, the two main goals of treatment are to delay birth long enough to take a mother to a hospital with a neonatal intensive care unit (NICU) and to accelerate a baby`s lung development by providing steroids. There are a number of treatments that doctors turn to during preterm labor. Bed rest, pelvic rest, and hydration (sometimes with intravenous fluids) can sometimes slow or stop contractions. If labor does not stop and a woman is delivered early, a team of health professionals will take care of the baby. The team may include a neonatologist.
Corticosteroids can help accelerate the development of the fetus` lungs, brain, and digestive organs. A single corticosteroid treatment may be recommended between the 24th and 34th week of pregnancy for women who are at risk of giving birth within 7 days, including women with ruptured membranes and women carrying more than one fetus. To achieve this time, doctors usually prescribe medications called tocolytics, which can slow or stop uterine contractions. Among the most common is magnesium sulfate, which has a double effect. It can prevent seizures in women with preeclampsia and reduce the risk of cerebral palsy and other brain diseases in premature babies. Corticosteroids. Corticosteroids can help promote your baby`s lung maturity. If you are between 23 and 34 weeks old, your doctor will likely recommend corticosteroids if you think you will have an increased risk of giving birth within the next seven days. Your doctor may also recommend steroids if you are at risk of giving birth between 34 weeks and 37 weeks. Once you are in labor, there are no medications or surgeries to stop labor except temporarily. However, your doctor may recommend the following medications: In some cases, yes.
For about 3 in 10 women, preterm labor stops on its own. If this does not stop, treatments may be given to try to delay childbirth. In some cases, these treatments can reduce the risk of complications when the baby is born. If you have any of the following risk factors, it`s important to know the symptoms of preterm labor and what to do when they occur: Women are most at risk of preterm labor if: When the muscles in your uterus contract, you`ll feel your abdomen harden. When the contraction goes away, your uterus becomes soft. During pregnancy, the layers of your uterus contract irregularly, which is usually not painful. These are known as Braxton-Hicks contractions; They are usually irregular and do not open the cervix. If these contractions become regular or more frequent, e.B. every 10-12 minutes for at least an hour, it can be premature contractions of labor that can cause the opening of the cervix.
In this case, it is important to contact your doctor as soon as possible. Doctors will not try to stop contractions if the baby is over 34 weeks old and the lungs are developed or if there are concerns about the health of the mother or baby. If a pregnant woman shows signs of premature birth, her doctor will often try treatments to stop labor and prolong the pregnancy until the fetus is more developed. Treatments include therapies to try to stop labor (tocolytics) and drugs given before birth to improve outcomes for the infant if born prematurely (prenatal steroids to improve airway outcomes and neuroprotective drugs such as magnesium sulfate). Prenatal corticosteroids (also called SCA). These include medications such as betamethasone and dexamethasone. These accelerate your baby`s lung development. They also help reduce your baby`s chances of developing certain postpartum health problems, including respiratory distress syndrome (also called IBS), intraventricular bleeding (also called IVH), and necrotizing enterocolitis (also known as NEC).
IbS is a condition that affects a baby`s breathing. IVH bleeds into the brain. NEC is a condition that affects a baby`s intestines. Preterm or preterm labor can be very stressful, and most parents are not prepared for this situation. However, there are ways to prevent preterm labor in high-risk women. There are also treatments that may be able to slow or stop preterm labor if contractions begin prematurely, before the 37th week of pregnancy. Premature births cannot always be prevented. But pregnant women can help reduce their chances of going into labor too early. Here`s the best tip: Your doctor will review your medical history and risk factors for preterm labor and assess your signs and symptoms.
If you have regular uterine contractions and your cervix has begun to soften, thin and open (dilate) before the 37th week of pregnancy, you are likely to be diagnosed with preterm labor. If you have signs or symptoms of premature birth, don`t wait. Call the office of your obstetrician and gynecologist (ob-gyn) immediately or go to the hospital. Premature births are diagnosed when changes in the cervix are noted after the onset of contractions. Premature contractions can be Braxton Hicks contractions, which are common and don`t necessarily mean that your cervix begins to open. If you have contractions that you think could be a symptom of preterm labor, try walking, resting, or changing position. This could stop the false contractions of labor. However, if you are in real preterm births, your contractions will continue.
Mothers who think they are in labour or who have contractions (abdominal pain or cramps) should immediately call their doctor or midwife. If there is bleeding or your water breaks (which can be an intermittent leak, a constant leak or a surge of fluid), it is important to go to the hospital immediately. Experiencing contractions too early in your pregnancy can be scary, but they don`t always mean you`re in labor. You might have Braxton-Hicks contractions, and if so, there are steps you can take to relieve your discomfort. However, if you have symptoms of premature birth, you need to act quickly, as this can lead to the premature birth of your baby. While preterm labor usually occurs in women who have a high-risk pregnancy, it can also occur in women with healthy pregnancies. If you are worried about having preterm labor, call your doctor immediately or go to the hospital. If you think you have signs and symptoms of preterm labor, call your doctor immediately. It`s natural to be a little anxious during this time, but by becoming aware of the symptoms and taking the following steps, you can help prevent preterm labor: Medications called tocolytics (pronounced toh-coh-LIT-iks) can be given to many women with symptoms of preterm labor. These drugs can slow or stop contractions of the uterus and prevent labor for 2 to 7 days. A common treatment for delaying labor is magnesium sulfate (pronounced mag-NEEZ-ee-um SUL-fate), which is given to the pregnant woman intravenously through a needle inserted into a vein in the arm.
Your gynecologist-obstetrician may perform a pelvic exam to see if your cervix has changed. You may need to be examined several times over a period of a few hours. Their contractions can also be monitored. Antibiotics. These drugs, which include ceftriaxone, clarithromycin and metronidazole, kill infections caused by bacteria. If you have a positive group B streptococcal test or have a premature rupture of the membrane (also called pPROM), your doctor may give you antibiotics to prevent infection in you and your baby. PPROM occurs when the bag around your baby breaks before the 37th week of pregnancy. Regular or frequent contractions or uterine tightening, often painless Healthy pregnancy habits such as good prenatal medical care, staying hydrated, avoiding smoking and alcohol, eating nutritious foods, and taking prenatal vitamins can also help reduce the risk of preterm labor. Your obstetrician will manage preterm labor based on what they think is best for your health and that of the fetus. If the fetus suffers from a delay in childbirth, drugs can be given to: drugs that help prepare a fetus for premature birth include corticosteroids, magnesium sulfate and tocolytics.
If preterm labor is too advanced to stop, childbirth may be necessary. If your hospital does not have the resources to care for premature babies, your gynecologist-obstetrician may recommend being transferred to another hospital with these resources. .