Premature Labor

Medical Review

Written by: Dr. Von Chiao Wen Doctor of Medicine (MD), N.I. Pirogov Russian National Research Medical University
Reviewed by: Dr. Lee Chin Meng Doctor of Medicine (MD), Manipal Academy of Higher Education (MAHE)

Overview of Premature Labor

Premature labour is a condition where the delivery happens before week 36 of pregnancy when female undergoes regular contractions resulting opening of cervix. Premature labour puts baby in greater health risk. Hence close monitoring of baby after birth is needed.

Signs and Symptoms of Premature Labor

Regular or frequent contractions, Constant low & dull backache, Sensation of pelvic or lower abdominal pressure, Mild abdominal cramps, Vaginal spotting or light bleeding, Preterm rupture of membranes

Common Causes of Premature Labor

Preeclampsia, Chronic medical illness, Infection (such as group B streptococcus), Drug abuse (such as cocaine), Abnormal structure of the uterus, Cervical incompetence (inability of the cervix to stay closed during pregnancy), Previous preterm birth

Risk Factors of Premature Labor

History of preterm labour, Pregnant mother associated with urinary tract infections or sexually transmitted disease, Pregnancy with twins, High blood pressure Smoking, Stressful life events, such as the death of a loved one, Too much amniotic fluid (polyhydramnios)

Investigation Techniques for Premature Labor

Cervical examination- Pooling of liquor at posterior fornix, Ultrasound (with a vaginal transducer to measure the length of the cervix), Testing for fetal fibronectin (FFN)–a protein found between the fetal membranes and uterine lining.

Treatment and Prevention of Premature Labor

Bedrest, Hospitalization, Tocolytic medications, Corticosteroid medications for the fetus, Cervical cerclage, Antibiotics (to treat infection),Delivery

Available Premature Labor Medicines

No medicines currently available for this condition.

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