Causes of Premature Birth

Written by Zhao Li Li
Obstetrics
Updated on September 15, 2024
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Generally, there are many reasons that can cause symptoms of preterm birth. Normally, due to reasons such as cervical dilation, or the occurrence of regular abdominal pain, preterm labor may be induced. In some cases, long-term vaginal inflammatory conditions can lead to premature rupture of membranes, or cervical canal dilation may also cause preterm birth. If symptoms of preterm birth occur at present, it is necessary to actively suppress contractions, protect the fetus, and provide symptomatic treatment. If this is ineffective, it is advisable to actively prepare for rescuing and caring for the newborn.

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Written by Zhao Li Li
Obstetrics
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Is premature birth prone to cerebral palsy?

Under normal circumstances, not all preterm infants will develop cerebral palsy. Preterm babies are more susceptible due to their immature organ systems compared to full-term babies. If they face poor adaptation to the environment during or after childbirth, it can increase the likelihood of developing cerebral palsy. However, this does not mean that cerebral palsy will occur in all cases. Furthermore, since the brain development system is not fully mature in preterm infants, conditions such as brain hypoxia may occur, which can affect the brain and contribute to the development of cerebral palsy.

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Written by Zhang Lu
Obstetrics
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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.

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Written by Zhang Lu
Obstetrics
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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.

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Written by Zhang Xian Hua
Pediatrics
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How to care for premature infants

Women with premature infants should primarily focus on the following aspects: Firstly, they should ensure proper thermal protection to avoid the baby getting cold, and can use fleece hats for the baby. Secondly, attention should be given to the feeding method; premature infants should start breastfeeding as soon as possible when appropriate. If breast milk is insufficient, special formula milk for premature infants can be used. Thirdly, special attention should be given to managing the baby's breathing since premature infants might experience respiratory pauses, requiring close monitoring. Fourthly, due to the low body weight and poor immune function of premature infants, making them prone to infections, it is crucial to prevent infections and avoid cross-infection through frequent handwashing and maintaining good indoor ventilation and hygiene. Fifthly, it is important to ensure adequate supplementation of vitamins and trace elements. Sixthly, particular care should be taken with the skin and mucous membrane care, as premature infants have delicate skin and are prone to skin infections. Lastly, timely and regular vaccinations are also very important.

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Written by Du Rui Xia
Obstetrics
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Preterm birth refers to how many weeks?

Premature birth refers to a baby born after the pregnancy has reached 28 weeks but before completing 37 weeks. Most of these babies weigh less than 2500 grams at birth and have poorer adaptive abilities compared to full-term babies. They require special care. Feeding premature infants can be challenging. They generally need to be fed breast milk or formula every two to four hours. Start by feeding once or twice; if there is no vomiting for six to eight hours, continue feeding some milk. Also, position the baby's head to one side to prevent inhalation of vomit.