Is premature birth hereditary?

Written by Du Rui Xia
Obstetrics
Updated on September 17, 2024
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Premature birth is not hereditary. There are many causes of premature birth, including reasons associated with the pregnant woman herself, such as hypertension and diabetes during pregnancy, as well as concurrent conditions like chronic nephritis and hyperthyroidism, which can lead to premature birth. Additionally, premature birth can be caused by a relaxed cervix, poor uterine development, congenital uterine malformations, and uterine fibroids. Furthermore, trauma to the abdomen during pregnancy, long-distance and prolonged travel, fatigue, and excessive emotional fluctuations can also lead to premature birth. Therefore, these factors related to premature birth are not associated with genetics.

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Written by Zhang Lu
Obstetrics
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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.

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Written by Du Rui Xia
Obstetrics
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How to prevent preterm birth

The causes of preterm birth are numerous, and prevention mainly involves addressing these causes. For etiological reasons, proactive treatment of some chronic diseases is necessary. For pregnant women with a history of preterm birth, it is crucial to pay close attention two to three weeks before the previous preterm birth date. They should avoid overexertion, abstain from sexual activity, and rest in bed until the expected due date. It is also important to identify the causes of preterm birth, such as cervical insufficiency. If so, a cerclage surgery can be performed around the 14th week of pregnancy. If a pregnant woman shows signs of labor or preterm birth, she should be given oxygen immediately, and an injection of vitamin K should be administered to prevent intracranial hemorrhage in the newborn.

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Written by Yue Hua
Obstetrics and Gynecology
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Premature birth is how many months?

Preterm birth refers to a newborn born between 28 and less than 38 weeks of pregnancy. Moreover, at this time, the heart size is generally more than 1000 grams. There are many reasons for this occurrence, most of which are related to intrauterine infection in pregnant women, such as patients with premature rupture of membranes or chorioamnionitis are prone to preterm birth. Additionally, if there has been a previous pregnancy, abortion, with a short interval between them, or if an ultrasound detects that the cervical length is less than 25 millimeters, there is also an increased likelihood of preterm birth.

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Written by Liu Wei Jie
Obstetrics
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What is the earliest gestational week that a premature baby can survive?

Preterm infants, how many weeks can survive, first let's talk about the concept of preterm birth. The concept of preterm birth is more than 28 weeks but less than 37 weeks, this is called premature birth. However, with the improvement of neonatal resuscitation technology, in China, if it’s after 26 weeks, the vast majority of newborns can also survive. But after survival, the cost is quite high. For instance, if it's in a top-tier hospital, the cost for newborns born between 26 and 28 weeks can be around several hundred thousand yuan. So, even after some medical insurance policy reimbursements, you would still have to spend around tens of thousands of yuan on your own.

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Written by Du Rui Xia
Obstetrics
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How to care for premature infants

The care of premature babies is very important. Since the physical resistance of premature babies is weaker than that of full-term infants, premature babies generally need to be placed in incubators to maintain body temperature. If an incubator is not available, methods such as using a hot water bottle for warmth can be employed, or putting cotton hats on the babies. During feeding, breastfeeding is an option. For very small babies who have poor sucking ability or uncoordinated swallowing functions, or for babies who are ill, the mother can express her milk, which can then be fed to the baby via a tube through the nose. Artificial feeding is also an option.