Preterm Labour: Early Indicators, Expectations & Resources for Parents
Learn the Signs, What to Expect
What is Preterm Labour?
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Preterm labour occurs when your body begins the process of giving birth earlier than expected, before 37 weeks of pregnancy. This means the cervix starts to open (dilate) and contractions begin too soon, potentially leading to an early delivery.
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What Does Preterm Labour Mean for My Baby?
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Babies born prematurely, especially before 37 weeks, may face health challenges. The earlier the birth, the higher the likelihood of complications. Preterm babies often need specialized medical care in the Neonatal Intensive Care Unit (NICU) to support their growth and development. Common risks for premature babies include respiratory issues, feeding difficulties, and developmental delays. Preterm babies may have to stay in the hospital longer after the mother/birthing parent goes home.
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Who is At-Risk for Preterm Birth?
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While preterm labour can happen to anyone, certain factors increase the risk, including:
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History of previous preterm births
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Carrying twins, triplets, or more
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Certain medical conditions (e.g., infections, high blood pressure)
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Smoking, drug use, or excessive stress
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Not eating enough healthy food
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Have a lot of stress in their life
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Have had several miscarriages
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Doing strenuous work
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Being underweight or overweight during pregnancy
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Being born premature
What Can I Do to Reduce My Risk of Preterm Labour?
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Although not all causes of preterm labour are preventable, you can reduce your risk by:
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Attending all prenatal appointments for early detection of potential issues
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Maintaining a healthy diet and staying active (as recommended by your healthcare provider)
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If you smoke, try to quit or cut down
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Managing chronic conditions like diabetes or hypertension
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Reducing stress through relaxation techniques, counseling, or support groups
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Listen to your body, mention changes to your health practitioner
What Are the Signs and Symptoms of Preterm Labour?
Recognizing the signs of preterm labour is key to getting help quickly. Symptoms include:
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Regular or frequent contractions (even if painless)
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Lower back pain or pelvic pressure
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Abdominal cramping or diarrhea
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A change in vaginal discharge (watery, mucous-like, or bloody)
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Fluid leakage from the vagina (which could indicate your water has broken)
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A feeling that your baby is “pushing down”
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What Should I Do if I Think I Am in Preterm Labour?
If you believe you are experiencing preterm labour, contact your healthcare provider or go to the hospital immediately. Timely intervention is crucial to ensure both you and your baby receive the necessary care.
What Happens if I Am in Preterm Labour?
If you are in preterm labour, your healthcare team will assess the situation through physical exams, ultrasounds, and monitoring your contractions. Depending on the stage of your labour and your baby’s health, they may attempt to delay birth through medications like steroids to strengthen the baby’s lungs or medications to stop contractions. In some cases, bed rest or hospitalization may be required.
Resources for Families Facing Preterm Labour
You are not alone. Many organizations offer resources and support to help you navigate preterm labour and premature birth:
One of the first gifts you can give to your baby is colostrum. Many units are now encouraging mothers to hand-express colostrum as soon as possible after birth, in order to give babies that immune-boosting ‘liquid gold” as soon as possible. If you are part of a high-risk program, ask them about early hand expression and pumping. Learn more about the technique from a leading clinician in this field, Dr. Rebecca Hoban.
If you want to learn more about the people you’ll meet in the NICU, and about some of the new words you’ll hear, Sunnybrook Health Sciences Centre offers a Who’s Who in the NICU and a Glossary on their website.
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Being informed about preterm labour can help you recognize the signs early and take action to protect your health and your baby’s well-being. By understanding the risks, symptoms, and available resources, you can better prepare for any challenges that may arise during your pregnancy.