Causes of Premature Birth

Written by Du Rui Xia
Obstetrics
Updated on September 27, 2024
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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.

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Written by Zhao Li Li
Obstetrics
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What is the earliest month that premature birth can occur?

Under normal circumstances, the entire childbirth process for a fetus is divided into three stages: early pregnancy, middle pregnancy, and late pregnancy. Generally, fetal development between 28 to 40 weeks is considered a viable period. During this time, if delivery occurs, the baby's chances of survival are very high. However, normally, a fetus between 37 to 40 weeks is considered full-term, so babies born before 37 weeks are referred to as premature. Premature babies need close monitoring of their developmental status after a normal delivery to avoid potential complications.

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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 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 Du Rui Xia
Obstetrics
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Can premature birth be natural delivery?

Whether a vaginal delivery is possible in the case of preterm labor depends on the condition of the pregnant woman and the fetus, including the woman's birth canal, labor strength, the size and position of the fetus, among other factors. Generally, during a medical visit, a doctor will measure the woman's pelvis to roughly determine whether vaginal delivery is feasible. Women who experience preterm labor should go to the hospital for timely medical care and choose a hospital equipped for emergency services. If preterm delivery occurs, the baby's respiratory function may be relatively weak, necessitating the use of special equipment to assist breathing.

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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.