Premature childbearing: symptoms and prevention

According to the WHO (world organization Of the health), premature childbearing is that that takes place with less than 37 complete weeks of gestation, with independence of the weight of the baby.

Let proper uterine contractions of the childbearing appear before time it is something that can happen to any pregnant woman. In fact, only approximately half of the women who give birth prematurely belongs to a well-known high-risk group. That's why, it is important that all the future moms know why the childbearing goes forward and what they can do to prepare it.

The childbearing can be premature when the pregnant woman when the pregnant woman presents some of these factors of risk:

If the mom waits for two or more babies, in about 20 % of the multiple gestations the childbearing goes forward naturally or for Cesarean section, about the week 37 of pregnancy.
The mom has had more than 2 miscarriages or a premature childbearing previously.
If the work or the familiar life produce to the mom stress. If the pregnant woman is very shaken, his organism liberates a few substances that provoke irritability of the uterine fibre, what unleashes the contractions.
If in the daily labor activity of the mom, this one must be a lot of standing time or has to move heavy objects.
If the pregnant woman has suffered a blow or a serious traumatism, how for example, a fall, an accident of transit, etc.
If the pregnant woman supports slightly healthy habits: he smokes, drinks alcohol, consumes drugs.
If the mom is excessively thin (severe anemia).
If the pregnant woman has less than 18 years or more than 35 years, although this is a less excellent factor.
If the mom endures a vaginal, urinal or dental infection that is not treated appropriately.
The pregnant women affected for gingivitis (an illness periodontal) there has 3 times more risk of giving birth of premature form, compared to the moms gestantes that have the healthy mouth.
If the mom suffers complications during the pregnancy, as for example: bled, or hypertension before to the pregnancy or induced because of it: preclampsia.
If the neck of the womb (c�rvix) has difficulty to remain closed (it can owe to a tear happened in a previous childbearing or a malformation in the womb), or is shy before time. During the pregnancy, the c�rvix has a 37 millimeters average length and, as it diminishes his size, the possibilities of premature childbearing increase; if, for example, it is lower than 15 millimeters, the risk of premature childbearing turns out to be very high. These signs are detected in the office of the obstetra by means of the vaginal exploration.
Between the week 15 and 30 of gestation, the doctors measure the size of the c�rvix of the future moms who have some risk factor. If they discover that it is shorter than the normal thing, they recommend rest and to realize a cerclaje. This skill consists of giving a stitch in the c�rvix to prevent from being opened too soon. The point moves back a few days before the date of childbearing.

How to avoid a premature childbearing:

To reduce the probabilities of which the childbearing is premature the prevention is very important.

It is important to go to all the periodic control panel of the pregnancy.
To consult the doctor before any problem or symptom (urinal or vaginal infection, stained dark, strong headaches, etc.)
To avoid the alcohol, the drugs and the tobacco.
Not to realize big efforts.
To diminish the stress
In case there are indications of premature childbearing, it is necessary to discard the presence of infections and to evaluate the pregnant woman to determine if it is a question of a threat or of a work of premature childbearing.
In case of there is infection, the treatment will consist of treating the infection with antibiotic, consumption of liquids, rest in bed, inhibiting of the oral uterine contractions or intravenous. The ideal thing is to hospitalize the mom until they stop the contractions. If the baby has less than 34 weeks, the pulmonary maturation is advised with corticoids.

Symptoms of alarm of the premature childbearing:

The symptoms of alarm of the premature childbearing are similar to those of the childbearing to term. The most common are: pressure in the pelvis, sensation that the baby pushes down; inconveniences in the low area of the back and in the belly, how when the menstruation is had;

changes in the vaginal secretion; regular uterine contractions (every 15 minutes or less) for one hour (they do not have why to be painful); expulsion of the mucous stopper; break of the amniotic bag and vaginal hemorrhage.

Although it does not turn out to be easy, in any cases, the doctors manage to postpone the birth of the premature baby. If the bag remains intact, a medication can stop the uterine contractions. The mom can return to the house, but he will have to keep rest.

In the premature childbearings it usually do Cesarean section, especially if fetal suffering registers. When the premature childbearing develops for vaginal route, it is usually easier and short, since the skull of the premature baby is smaller and soft than that of a baby born to term.

In any case, one is not necessary to scare if any childbearing symptom is had, since there exist many false alarms, in which there take place many painful and rhythmic contractions that do not go so far as to start the childbearing work. In these cases, if there are not modified the characteristics of the neck of the womb, the rest is usually sufficient so that they disappear and the baby could be born when one waits for it.