What does it feel like when the cervix opens prematurely?

Written by Zhao Li Li
Obstetrics
Updated on September 11, 2024
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Under normal circumstances, if preterm labor is already confirmed and the cervix is fully dilated, it is generally considered inevitable and preparations for the active resuscitation of the newborn should be made. Typically, if the cervix is fully dilated due to preterm labor, regular abdominal pain may first occur along with discomfort in the lower abdomen, indicating strong uterine contractions. After the uterus contracts, this leads to continuous dilation of the cervix until it expands to ten centimeters. Once fully dilated, the next steps in treatment are carried out, closely monitoring the condition of the premature infant after birth and providing symptomatic medication if necessary.

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Written by Zhao Li Li
Obstetrics
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Do frequent Braxton Hicks contractions lead to preterm labor?

In the late stages of pregnancy, there may be occurrences of Braxton Hicks contractions, generally happening at a low frequency of about two to three times per day. Some individuals experience these false contractions primarily at night, which disappear during the day. This is considered normal physiological behavior in the late stages of pregnancy. If there is a frequent occurrence of Braxton Hicks contractions, it may also lead to the dilation of the cervix, causing premature labor. Therefore, if this situation arises and the fetus is not yet full-term, it is recommended to go to the hospital for an examination in a timely manner, and symptomatic treatment to maintain the pregnancy may be necessary.

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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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How many weeks early can a premature baby survive?

Preterm birth refers to births that occur after 28 weeks of pregnancy but before 37 weeks. Preterm infants have lower resistance compared to full-term infants and generally require special care to survive. The survival rate varies with the gestational age: at 32 to 33 weeks, the survival rate can reach 95%; at 28 to 31 weeks, it is between 90% and 95%; at 26 weeks, it is around 80%; and at 27 weeks, it is about 90%. After 34 weeks of pregnancy, the survival rate of the baby is very high, almost the same as that of a full-term baby.

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Written by Liu Wei Jie
Obstetrics
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Can premature birth be natural birth?

First, let's discuss the concept of preterm birth, which is defined as births occurring between less than 37 weeks and more than 28 weeks of gestation. There are many reasons for preterm birth, such as genetic factors, premature rupture of membranes, or complications during pregnancy. If the pelvic size is adequate and the child can tolerate delivery, then vaginal delivery is preferred; however, if the fetus is too small or there are complications during pregnancy such as gestational hypertension, gestational diabetes, or if the mother's health status is not good, it is recommended to opt for a cesarean section to ensure a timely delivery.

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Written by Du Rui Xia
Obstetrics
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Causes of Premature Birth

There are many causes of preterm birth, such as cervical loosening during pregnancy, gynecological inflammations, underdeveloped uterus, congenital uterine malformations, and uterine fibroids, as well as pregnancy-related hypertension and diabetes, which can also lead to preterm labor. Additionally, carrying twins can increase uterine tension and potentially cause preterm birth. Other factors include long-distance travel, fatigue, emotional fluctuations, family relocation, abdominal trauma, prolonged standing, high psychological stress, advanced maternal age, and placental abruption during pregnancy, all of which can contribute to the occurrence of preterm birth.