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Preterm delivery
Premature birth is what it means.
Preterm birth refers to giving birth before full-term pregnancy, defined as delivery occurring between 28 and 36 weeks plus 6 days of gestation. Corresponding conditions are miscarriage and full-term delivery: before 28 weeks is termed a miscarriage, while delivery after 37 weeks is termed full-term birth. Because preterm infants already possess certain vital functions, most can survive with appropriate emergency intervention and treatment. However, the risks associated with preterm birth are relatively high and depend on the specific causes of prematurity. Some premature births are due to premature rupture of membranes, while others are medically induced, for example in cases of abruptio placentae or severe preeclampsia. Therefore, it is crucial in clinical practice to provide rational treatment for preterm labor, aiming to extend the duration of pregnancy as much as possible to avoid neonatal death.
Will swollen feet during pregnancy lead to premature birth?
Swelling of the feet is a common clinical symptom after pregnancy, but generally, foot swelling is not directly related to preterm birth. However, sometimes, if pathological factors cause foot swelling, it may lead to preterm birth. The most common cause of foot swelling during pregnancy is the increased size of the uterus compressing the veins and arteries in the pelvis, causing obstruction of venous return, which leads to swelling of the feet. However, this is a physiological change and does not cause preterm birth. Pathological factors, such as hypertension during pregnancy or renal diseases during pregnancy, might cause generalized edema. If the condition is severe, medical intervention for medically induced preterm birth may be required. However, it is the primary disease that causes preterm birth, not the swelling of the feet.
How to induce lactation in premature births
The lactation induction for premature births is actually the same as for full-term births. First and foremost, it starts with the individual. Through diet, the amount of breast milk can be increased, for example, by consuming more soups, such as rice porridge, noodle soup, milk, and soy milk. Since 90% of breast milk is water, replenishing water is essential for sufficient milk supply. Additionally, it is important to keep a pleasant mood. The mother should be happy and have enough sleep, as these factors can help increase milk production. Moreover, it is important to let the baby nurse more frequently and intensively, because the act of breastfeeding stimulates the breasts as a reflex. The more frequently and the more the baby nurses, the more milk is produced through this reflex. What should one do if the baby is premature and in pediatrics? In such cases, it's necessary to pump milk every 3 hours. Pumping itself also creates stimulation that promotes milk secretion.
Is prematurity prone to jaundice?
Premature infants often exhibit jaundice. This is because during premature birth, the baby's gas distension function is not yet perfect, the liver's detoxification capabilities are relatively weak, and the ability to process bilirubin is poor. Therefore, jaundice easily occurs, and the physiological jaundice in premature infants is more severe compared to full-term infants. Due to the reduced sucking ability and swallowing reflex in premature infants and their underdeveloped intestinal function, most babies cannot be normally breastfed after birth. The increased absorption of bilirubin in the intestines exacerbates the jaundice in premature infants. It is advised for premature infants to initiate breastfeeding as soon as possible and some medications can also be used to promote liver enzyme activity.
How is preterm birth defined?
Premature birth means that the gestational period is not yet complete, and the baby is born before reaching full term, which is called preterm birth. Specifically, this ranges from more than 28 weeks but less than 37 weeks of gestation. Due to the incomplete development of premature infants, their organ functions are relatively poor. Therefore, caring for premature infants can be more challenging, often requiring pediatric care and enhanced nursing. Moreover, there are more complications, so it is important to try to prevent premature births as much as possible.
Does low amniotic fluid lead to preterm birth?
When there is too little amniotic fluid, it can potentially cause preterm labor. Insufficient amniotic fluid can lead to fetal hypoxia and asphyxia within the uterine cavity, and frequent fetal movements may induce uterine contractions leading to preterm labor. If reduced amniotic fluid is detected during an examination, it is important to promptly identify the cause and actively pursue treatment. Initially, drinking more water can help improve the condition, and water can also be directly injected into the amniotic cavity to improve the situation. If an examination reveals frequent fetal movements or a reduced fetal heart rate, indicating hypoxia, prompt intervention is needed, and if necessary, pregnancy termination may be considered.
What are the signs of premature birth?
Preterm birth refers to delivery occurring between the 28th and 36th week +6 days of pregnancy. Firstly, it is advised to prioritize prevention and identify the symptoms of preterm labor as early as possible to allow for early treatment. Signs of preterm labor include the following aspects: First, the occurrence of regular contractions, such as 4 contractions within 20 minutes or 8 contractions within 60 minutes, with each contraction lasting more than a minute; second, the appearance of a small amount of bloody show, which is a sign of imminent labor; third, many times pregnant women will experience a significant feeling of heaviness. Upon examination, cervical dilation and a shortening of the cervical canal may be found. When these symptoms appear, it is important to rest in bed promptly and undergo treatment with medications.
Premature birth refers to childbirth happening before the normal completion of pregnancy, specifically before 37 weeks of gestation.
Premature birth, as the name implies, occurs when labor happens too early. Premature birth is generally defined by gestational age, specifically when delivery occurs between 28 and 36 weeks and 6 days of pregnancy. In contrast, miscarriage refers to delivery before 28 weeks; full-term birth refers to delivery between 37 and 41 weeks and 6 days; and post-term birth refers to delivery after 42 weeks of pregnancy. Premature birth can be quite harmful to the fetus, as during this period the fetus is smaller in size and less mature. If premature birth occurs, the survival rate of the fetus is relatively low. Causes of premature birth in clinical practice include vaginal inflammation, premature rupture of membranes, twin pregnancy, and shortened cervical canal. Therefore, prevention of premature birth should target these underlying causes.
Is it normal for a premature baby to weigh more than five jin?
If the newborn is currently premature and weighs a bit over five jin (approximately 2.5 kilograms), it is generally considered within the normal range. Typically, if a newborn weighs more than 2500 grams, it is considered a full-term birth weight and there are no abnormalities. Therefore, if the newborn's weight is within the normal range after birth and there are no abnormalities in the development of the organs, it is possible to observe temporarily without the need for an incubator. It is also crucial to closely monitor the various vital signs of the newborn and pay attention to normal feeding and care.
What are the symptoms of preterm labor?
According to the current situation, generally, embryos delivered between 28 to 37 weeks of cessation of menstruation are considered preterm. Under normal circumstances, if there is already regular abdominal pain accompanied by abdominal bloating and uterine contractions, it is generally considered whether there is a possibility of threatened miscarriage. Normally, frequent uterine contractions and abdominal hardening can stimulate cervical dilation, which generally may lead to preterm birth. Therefore, these are the signs of preterm labor. If regular abdominal pain occurs and persists for several hours without relief, it is advisable to seek medical attention promptly for treatment to prevent premature birth.