Births before 20 weeks of gestation are called miscarriages. The onset of labor before 37 weeks of gestation is called “premature birth”. Premature birth 20-37. birth between weeks of pregnancy. A healthy pregnancy lasts between 37-42 weeks. The probable date of birth calculated and told to you is the time corresponding to the 40th week. Births before 37 weeks; Premature birth and birth after 42 weeks are called late births.
Premature birth is a situation we do not want
The baby is born before it has fully reached the capacity to live in the outside world. This can lead to very serious health problems. Some health problems can cause lifelong distress, while others, such as learning difficulties, may appear in childhood and adult life. Babies born before 34 weeks are especially at risk, 34-37 weeks. Although it is less serious during the week, it can cause health problems.
Risk factors for preterm birth; Premature birth, short cervix, short time between two pregnancies, previous surgery on the uterus or cervix, multiple pregnancies, bleeding during pregnancy, not gaining enough weight during pregnancy, and smoking during pregnancy. If you have encountered a premature birth problem in your previous pregnancy, you should go to the doctor before the next pregnancy occurs and you should be followed by an experienced specialist! When you realize that you are pregnant, you should be examined as soon as possible. Also, if you have one of the above risk factors for preterm birth, you should share it with your doctor. Your doctor may apply some preventive medications and treatments based on your individual situation.
What are the symptoms of preterm birth?
The symptoms of preterm birth are the same as term births. That is, regular contractions lead to softening and opening of the cervix. If you experience any of the symptoms before 37 weeks, you should call your doctor immediately. Your vaginal discharge becomes watery, bloody or slimy, increase in vaginal discharge, groin pain or feeling of pressure, constant back pain, abdominal cramps that may be accompanied by diarrhea, regular hardening and recovery in your abdomen, water coming out. The diagnosis of preterm labor can only be understood by measuring the opening of the cervix during the vaginal examination to be performed by your doctor. If there is softening or opening, you will be followed for a while and examined again. In this follow-up, the intensity and frequency of uterine contractions and the baby’s heartbeat are closely monitored. Another examination is the measurement of the length of the cervix by transvaginal ultrasound. According to these evaluations, you can be hospitalized. Not every contraction and labor that starts before 37 weeks results in preterm labor. It is necessary to distinguish it from the contractions that prepare for the birth, which we call false contractions. It cannot be stopped in only 10% of pregnant women who have started labor and delivery takes place within the following 7 days. It stops spontaneously in about 30% of cases. The remaining 60% can be stopped with treatment. If the health of the mother and the baby are suitable, treatment is given to stop the birth. Anti-convulsant drugs such as magnesium sulfate and nidilate can be started. In addition, depending on your baby’s week, drugs that support lung development can be given. The aim of the treatment is to stop the birth for 48 hours in order for the cortisone treatment (the medicine to improve the baby’s lungs), which has been clearly proven by scientific studies, to have an effect. Cortisone acts by accelerating the baby’s lung development. Cortisone therapy 24-34. It is effective in the week of pregnancy and should be started immediately in case of premature birth. Another effect of magnesium sulfate, which we use as an abortive agent, is its protective effect on the nervous system in deliveries before the 32nd week.