How to reduce the risk of premature birth?
Some medical complications and certain situations may increase the risk of premature delivery.
Identifying risk factors to correct them is the best way to prevent premature delivery, even if in half the cases are not identified. The goal, get as close as possible to the term …
How to identify risk factors for preterm delivery?
The threat of premature birth represents the leading cause of hospitalization during pregnancy and premature births 7 to 8% of births in France.
However, with proper care, childbirth will not necessarily be premature. It is also sometimes possible to act upstream by identifying risky situations.
Preterm delivery: some medical risk factors
- A placenta prævia.
- A urinary or vaginal infection.
- A history of preterm delivery.
- A twin pregnancy.
- A particular malformation or morphology of the uterus (uterus bicornus, exposure to Distilbene …).
- A cervix too large.
- A particularly sensitive contractibility of the uterus.
- Gestational diabetes.
There are many others, and they can also cumulate …
The risk of premature delivery may be related to the activities of daily life:
- The difficulty of the work: port of load, standing …
- Travel, including long commutes to work, public transportation.
- Stress and overwork.
- Housework, a fortiori in the case of large family, imposing to multiply the activities without care.
- Consumption of tobacco or other toxic substances.
Of course, a car accident or a fall also represents situations at risk of premature delivery.
You may also be interested in: Date of delivery: how to calculate it?
How to reduce the risk of premature delivery?
If certain medical factors can not be corrected, others can be rectified, such as anemia (taking iron therapy), urinary tract infection (antibiotic treatment), gestational diabetes Addition of insulin).
We can also change the way of life during pregnancy: adapting the workplace, working from home to avoid trips, housekeeper, nanny to take care of children, relaxation …
A work stoppage may also be necessary, as rest is needed to prevent a threat of premature delivery.
You can consult a tobacco specialist who can accompany and advise nicotine substitutes (patches, gums, etc.) to reduce smoking during pregnancy.
All these arrangements are to be discussed and organized with the collaboration of the doctor who follows the pregnancy.
Treatments (hormonal, antispasmodic, etc.) can be put in place to prolong the pregnancy as close as possible to the term, or even hospitalization or sometimes, upstream, surgery (correction of uterine malformation, cervical collar).
What are the warning signs of premature childbirth?
A threat of preterm delivery is defined by the coexistence of painful, frequent and regular uterine contractions and changes in the cervix before 37 weeks of amenorrhea.
It will be necessary to search for other associated factors systematically:
- High fever.
- The flow of liquid: loss of water.
- Vaginal bleeding.
- Abnormal or abnormal colored vaginal discharge.
- Headaches, dizziness, palpitations.
- A very fast weight gain, with swelling of the fingers and ankles.
- Stomach pains or in the kidneys with a feeling of pressure.
- A sensation that the baby grows on the cervix.
- One of these signs, and a fortiori many of them, should make you urgently contact the doctor who is following you, or go to gynecological emergencies, a hospitalization may be necessary.
It should be noted that we have spoken in this article of the so-called “spontaneous” prematurity, that which intervenes in certain circumstances which we have just mentioned and against which one can try to fight to avoid an early childbirth.
There is another type of prematurity, the “provoked” prematurity which is expected since it is then a voluntary medical act indicated in certain emergency situations of maternal or fetal rescue.
We recommend reading the article: How do I know if I am pregnant? The signs are unmistakable