Is a posterior placenta more likely to lead to premature birth?

Written by Liu Wei Jie
Obstetrics
Updated on September 14, 2024
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The placenta is divided into anterior and posterior walls, with the posterior wall being a normal location for the placenta, which is unrelated [to preterm birth]. Generally, there is a hereditary tendency for preterm birth, and it is more likely to occur in individuals with certain physical constitutions or in cases of twin pregnancies. Additionally, people with gestational diabetes are also prone to preterm birth. Therefore, the posterior wall of the placenta has no correlation with preterm birth. Conditions like placenta previa or premature placental detachment are placental positions that can lead to preterm birth issues, and some people may experience preterm birth under these circumstances.

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Written by Zhao Li Li
Obstetrics
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What should I do if a premature baby has poor gastrointestinal health?

In the process of premature birth, due to the incomplete development of various organs and the nervous system, a series of complications may occur in various systems. If there is currently gastrointestinal discomfort after premature birth, it still needs to be adjusted in many aspects. Firstly, during the feeding process, it is recommended to pay attention to the feeding scale of the formula, and it is also necessary to maintain the cleanliness of bottle feeding. If frequent diarrhea and other gastrointestinal conditions occur, some probiotics for the intestines can be applied for adjustment, or some antidiarrheal medications can be used for symptomatic treatment.

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Written by Zhang Lu
Obstetrics
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Preterm labor signs

Premature birth refers to delivery between 28 to 36 weeks plus 6 days of pregnancy. Due to the lower body weight and immature organ development of the fetus, premature birth can lead to decreased survival rates and increased morbidity in newborns. The signs of impending premature birth include the following aspects: First, the occurrence of regular contractions, which are the most common sign of premature birth. If intermittent lower abdominal pain occurs, it should be taken seriously, and fetal heart rate monitoring may be necessary for assessment. Second, the appearance of blood in the vaginal discharge often indicates that the fetal presenting part is descending, which is also a sign of premature birth. Third, a physical examination may reveal shortening of the cervical canal and dilation of the cervix, suggesting the possibility of premature birth. When these conditions occur, they should be taken seriously, and medication may be necessary for treatment. (Specific medications should be used under the guidance of a physician.)

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Written by Du Rui Xia
Obstetrics
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Is low amniotic fluid likely to lead to premature birth?

During pregnancy, if there is a reduction in amniotic fluid, it is easy for premature delivery to occur. Insufficient amniotic fluid can cause fetal hypoxia in the uterus, which may lead to frequent fetal movements and stimulate uterine contractions, resulting in premature birth. When there is a reduction in amniotic fluid, it is important to replenish it in a timely manner. This can be done by drinking more water, intravenous fluid infusion, or directly injecting saline into the amniotic cavity. To determine the best method to replenish the amniotic fluid, it is advisable to seek treatment under the guidance of a doctor and to closely monitor changes in fetal heart rate and movements.

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Written by Zhao Li Li
Obstetrics
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Does premature birth hypoxia affect intelligence?

Under normal circumstances, if a preterm infant suffers from hypoxia, severe cases may have an impact on future intelligence. However, if preterm infants experience hypoxia after childbirth, they generally receive oxygen therapy, which also affects their intelligence to some extent. Therefore, in daily life, it is still necessary to strengthen the care of preterm infants, adjust their diet, and after oxygenation, appropriately supplement DHA and other substances that can promote brain development and effectively improve issues such as delayed brain development in infants and toddlers.

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Written by Zhang Lu
Obstetrics
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What are the causes of premature birth?

Preterm birth refers to delivery between 28 and 36+6 weeks of pregnancy. Due to the lighter weight and lower maturity of the fetus at this stage, the survival rate of newborns is often reduced. The causes of preterm birth include the following aspects: First, the presence of vaginal inflammation can easily lead to premature rupture of membranes, which in turn triggers contractions and can lead to preterm labor. Second, in twin or multiple pregnancies, the increased irritability of the uterine wall can easily cause spontaneous contractions, which in turn lead to preterm labor. Third, an excess of amniotic fluid can increase the pressure inside the amniotic cavity, easily stimulating spontaneous uterine contractions or premature rupture of membranes. Additionally, if the cervical canal is congenitally short, or if there has been previous cervical surgery, this can also easily lead to preterm labor.