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HIGH RISK OBSTETRICS

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Dr. Dhanshree Salunkhe

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Preterm labor

Preterm labor refers to the onset of labor before 37 weeks of pregnancy. Normally, a full-term pregnancy lasts around 40 weeks. Preterm labor can lead to the premature birth of a baby, which may result in health issues because the baby's organs and systems are not fully developed.

Risk Factors of Preterm labor:

  • Previous Preterm Birth: Having a history of preterm birth increases the risk of experiencing it again.
  • Multiple Pregnancies: Women carrying twins or more are at higher risk.
  • Infections: Certain infections, such as urinary tract or vaginal infections, can increase the risk.
  • Uterine or Cervical Issues: Abnormalities in the uterus or cervix can contribute to preterm labor.
  • Stress: High levels of stress may be a risk factor.

Complications and Management:

  • Neonatal Complications: Babies born prematurely may face health problems due to underdeveloped organs, such as respiratory distress syndrome, jaundice, and developmental issues.
  • Hospitalization: If preterm labor is suspected, a woman may be hospitalized for monitoring and treatment, which can include medications to stop contractions and steroids to help with the baby's lung development.
  • Bed Rest: In some cases, a healthcare provider may recommend bed rest to reduce the risk of preterm labor.
  • Cerclage: Cervical cerclage, a surgical procedure, may be performed if cervical insufficiency is the cause.
  • Tocolytic Medications: Medications that can temporarily stop contractions may be prescribed.
  • Supportive Care: Adequate nutrition, hydration, and emotional support are essential during the management of preterm labor.