Preterm birth refers to how many weeks?

Written by Du Rui Xia
Obstetrics
Updated on September 11, 2024
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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.

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Written by Zhao Li Li
Obstetrics
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How to switch from preterm formula to regular formula?

Generally, in the early stages of preterm infants, it is still necessary to feed them promptly with preterm formula. Since the gastrointestinal function of preterm infants is relatively weak, they may not be able to digest and absorb some full-term formula, which can easily increase the burden on the gastrointestinal tract. If the baby's development is currently good, you can switch to ordinary formula. During the transition between two formula brands, there should first be a gradual shift; you can start by mixing the two formulas, using more preterm formula and less ordinary formula. Gradually switch to the new ordinary formula brand, reducing the amount of preterm formula, allowing the baby to adapt gradually.

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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 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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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 Du Rui Xia
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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.