Can oxytocin be used for premature birth?

Written by Zhao Li Li
Obstetrics
Updated on January 15, 2025
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Under normal circumstances, babies born between 28 and 37 weeks of gestation are referred to as premature infants. Persistent and regular abdominal pain, accompanied by dilation of the cervix, usually suggests preterm labor and a likely onset of labor, necessitating timely medical attention for appropriate examination and treatment. Normally, during the process of preterm labor, if there is insufficient uterine contraction or other abnormal conditions, it might be appropriate to use oxytocin to induce labor. If the mother has no other complications, vaginal delivery is still the primary method of delivery to reduce conditions such as fetal hypoxia in the uterus.

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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 Liu Wen Li
Obstetrics
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Premature birth: Cesarean section or natural delivery?

Whether to opt for cesarean or vaginal delivery for preterm birth needs a comprehensive grasp of the pregnant woman's entire condition before assessing and deciding on the mode of childbirth. First, it's necessary to check if the woman has any complications and the severity of these complications, as well as whether her physical condition allows for vaginal delivery. Additionally, the changes in fetal heart rate must be considered. If the fetal heart rate is particularly poor, and the duration of vaginal delivery is long such that the child cannot endure it, then a cesarean section may be needed. Beyond these conditions, it is also important to evaluate the state of the pelvis, the size of the fetus, and the condition of the cervix. Generally, if vaginal delivery is possible for preterm births, it is still encouraged.

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Written by Du Rui Xia
Obstetrics
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Does premature birth affect intelligence?

Premature birth generally does not affect a baby's intellectual development, as the brain is mostly well-developed by the time of premature birth, and intelligence is not greatly affected. With appropriate nutrition post-birth, the intelligence of premature babies can generally recover to that of average children. However, if the baby experiences intrauterine hypoxia during premature birth, this can affect the brain cells and may even lead to cerebral palsy. Therefore, it is important to closely monitor the baby's diet and neurological responsiveness if premature birth occurs. If there are concerns, a hospital check-up can be conducted to promptly identify any issues with the child.

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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 Zhao Li Li
Obstetrics
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Premature birth is how many weeks?

Under normal circumstances, embryos that develop from 28 to 40 weeks are considered viable, and babies born during this period generally have a good survival ability. However, babies born before 37 weeks of amenorrhea are generally considered premature. Therefore, babies born between 28 weeks and 36 weeks plus 6 days are considered premature. Premature babies, due to the immaturity of their organs and systems, are prone to complications. If the baby has already been born, it is recommended to actively pursue appropriate premature care and symptomatic treatment.