What are the causes of premature birth?

Written by Zhang Lu
Obstetrics
Updated on December 07, 2024
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Preterm birth refers to delivery between 28 and 36+6 weeks of pregnancy. Due to the lighter weight and lower maturity of the fetus at this stage, the survival rate of newborns is often reduced. The causes of preterm birth include the following aspects: First, the presence of vaginal inflammation can easily lead to premature rupture of membranes, which in turn triggers contractions and can lead to preterm labor. Second, in twin or multiple pregnancies, the increased irritability of the uterine wall can easily cause spontaneous contractions, which in turn lead to preterm labor. Third, an excess of amniotic fluid can increase the pressure inside the amniotic cavity, easily stimulating spontaneous uterine contractions or premature rupture of membranes. Additionally, if the cervical canal is congenitally short, or if there has been previous cervical surgery, this can also easily lead to preterm labor.

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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 Du Rui Xia
Obstetrics
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Is low amniotic fluid likely to lead to premature birth?

During pregnancy, if there is a reduction in amniotic fluid, it is easy for premature delivery to occur. Insufficient amniotic fluid can cause fetal hypoxia in the uterus, which may lead to frequent fetal movements and stimulate uterine contractions, resulting in premature birth. When there is a reduction in amniotic fluid, it is important to replenish it in a timely manner. This can be done by drinking more water, intravenous fluid infusion, or directly injecting saline into the amniotic cavity. To determine the best method to replenish the amniotic fluid, it is advisable to seek treatment under the guidance of a doctor and to closely monitor changes in fetal heart rate and movements.

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Written by Zhao Li Li
Obstetrics
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Can oxytocin be used for premature birth?

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 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 Zhao Li Li
Obstetrics
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Do frequent Braxton Hicks contractions lead to preterm labor?

In the late stages of pregnancy, there may be occurrences of Braxton Hicks contractions, generally happening at a low frequency of about two to three times per day. Some individuals experience these false contractions primarily at night, which disappear during the day. This is considered normal physiological behavior in the late stages of pregnancy. If there is a frequent occurrence of Braxton Hicks contractions, it may also lead to the dilation of the cervix, causing premature labor. Therefore, if this situation arises and the fetus is not yet full-term, it is recommended to go to the hospital for an examination in a timely manner, and symptomatic treatment to maintain the pregnancy may be necessary.