What kind of expectant mothers are prone to premature birth?

Although I am a mother who gave birth prematurely without any warning signs, at first I thought that both twins were prone to premature birth. Didn’t the doctor say this every time to comfort myself? .

After thinking about it later, it was not traceable. If I had been more careful, I might not have had a premature birth. Please share your experience.

1. False uterine contractions occurred very early

False uterine contractions occurred at about 16 or 18 weeks, which is when the belly suddenly tightened and kept up. It's like a balloon becomes hard when inflated, but then softens in just a few seconds.

In the later stages, it was more frequent than before, but when I asked the doctor, he said it was normal and did not happen every day.

However, if you feel that you need to see a few more doctors too frequently, don’t be careless.

2. Polyhydramnios

In fact, there were not many examinations, but in the first two days of premature delivery, I don’t know if it was because I drank too much water or something. My belly felt very big and bloated at times. At that time, I thought it was because the baby was growing quickly in the second trimester and would feel uncomfortable when it grew up. Furthermore, I have a prenatal check-up in two days. I will wait until the date to ask the doctor.

Then on the day of premature delivery, the amniotic fluid flowed like a faucet and I couldn’t hold it back. My stomach suddenly felt like it was gone. However, when I went to the hospital to check, the amniotic fluid was still enough for the baby.

If you notice this kind of symptom, don’t delay. If you go to the doctor early, you will be more confident.

3. Excessive fatigue

I used to work all the time. Although the work tasks were not too many, I still had to sit for a whole day. In addition, my friends came to accompany me and walked around for a few days, and I felt very tired.

I came back and saw that many people suggested that if you are pregnant with twins, especially identical twins, you should take as much time off from work as possible until 28 weeks, don't move around too much, and rest in bed more. I may have overestimated myself at the time, thinking that I was in good health and should be fine until full term. In addition to the above personal experience, I think the following situations are more likely to cause premature birth:

1. Those who are jealous, anxious and in a bad mood during pregnancy

Always worried , complaints, and bad mood have an impact on yourself and the fetus. Poor maternal physical fitness will inevitably affect the fetus. Therefore, it is recommended to maintain a good attitude and relax during pregnancy.

2. The work is stressful and intense.

The work is very tiring, you are exhausted every day, and you are prone to premature birth. You should pay more attention to rest in the third trimester of pregnancy.

3. Not having prenatal check-ups on time, being very casual and not learning any knowledge

Most people may think that this kind of person has a big heart, a good life, and doesn’t care about eating a lot every day. If you drink it, the baby will still be born healthy and you won’t have to work so hard. There are indeed people like this around us, but there are also many people who have premature births just because they don’t understand anything and are not paying attention. I suggest you take a snack. I am a mother of twins who has been in the parenting circle for 10 years and is finally able to show my skills on my own. I am a food supplement expert in my circle of friends. I am a small encyclopedia of parenting. I love life and sharing. I am full of positive energy and look forward to walking with you in parenting. *** classmates learn and grow on their own journey. Remember to like and follow me, thank you!

A full-term birth means the fetus is born between 37 and 42 weeks of gestation, while a premature birth means the fetus is born before 37 weeks. Premature infants are not fully developed in all aspects of their body and have low immunity. They are prone to illness or intellectual, language, and motor impairments. The survival rate of premature babies born at 36-37 weeks is as high as 90%, while the survival rate of premature babies born at 28 weeks is only 60%. The earlier the time, the lower the survival rate.

What kind of expectant mothers are prone to premature birth?

1. Maternal reasons

1. Pregnant women with physical diseases. Before pregnancy, you have hyperthyroidism, diabetes, hypertension, heart disease, liver and kidney disease, or more serious gynecological diseases such as uterine malformation, vaginitis, and cervicitis.

2. Pregnant women with various pregnancy complications such as gestational diabetes, gestational hypertension, and preeclampsia.

3. Pregnant women with severe anemia. Severe anemia can lead to fetal malnutrition, intrauterine hypoxia, and premature birth.

4. Too young or too old. Pregnant women younger than 20 years old or older than 35 years old have a much higher incidence of premature birth than pregnant women of normal childbearing age.

5. History of multiple miscarriages and pregnancy less than one year after miscarriage. Excessive abortions will damage the endometrium and cervix, resulting in decreased fertility and making it difficult for the fetus to "sit firmly".

6. Diarrhea during pregnancy. Frequent diarrhea can stimulate uterine contractions and may lead to premature birth.

2. Fetal causes

1. Twin or multiple pregnancy. When pregnant women are pregnant with twins or multiple fetuses, the mother has to bear a heavier burden, and the fetuses are also prone to premature birth due to malnutrition, hypoxia and other factors.

2. The embryo itself is of poor quality, poor development, fetal malformation, premature rupture of membranes, placental insufficiency, etc.

3. External stimulation

1. Excessive mood swings, such as excessive fright, excessive sadness, severe prenatal depression, etc. For example, if a pregnant woman is violently beaten, or encounters major changes in life, it is easy to cause premature birth.

2. Lack of sleep, overwork or excessive exercise during pregnancy. There were news reports about a young expectant mother who went out to visit relatives and had a premature birth while carrying a heavy suitcase. She had to be rushed to the hospital and the fetus did not survive.

3. In the third trimester of pregnancy, the couple’s life is unrestrained. The fetus has grown very large in the third trimester. Improper or frequent sexual intercourse can easily cause uterine contractions or inflammation and lead to premature birth of the fetus. Therefore, sexual intercourse in the third trimester is generally not recommended. If you must have sex, you must pay attention to protecting the woman, pay attention to hygiene, move gently, and not too often.

4. The working and living environment is poor. If pregnant women live in an environment with loud noise, serious pollution or even radiation, they are more likely to give birth prematurely.

5. Smoking and drinking during pregnancy. In particular, the nicotine in cigarettes can cause placental vasoconstriction, causing fetal hypoxia or premature birth.

1. Expectant mothers who often stimulate their nipples will have breast swelling and pain during pregnancy, and milk overflow will cause uterine contractions. Expectant mothers who have passed their due date can stimulate their nipples more and accelerate uterine contractions, but if the time exceeds the expected date of delivery, they have to go to the hospital to wait for delivery. After all, if the baby exceeds the expected date of delivery, there will be many dangers to the baby in the belly, such as turbid amniotic fluid, hypoxia, etc.

2. Massaging the belly can also cause uterine contractions

3. Vigorous exercise

4. Excitement

5. Eating can Unsuitable drugs or foods that cause uterine contractions

Wait... There are many other reasons that can cause uterine contractions and premature birth. All expectant mothers should pay attention to them

My baby was born prematurely, 33 +4 raw. I was chatting with my husband after dinner that day, but couldn't fall asleep. I was about to go to bed at around 12 o'clock. I turned over and heard a "click" in my stomach. I didn't pay attention at the time. After a while, I turned over again and heard another "click" in my stomach. There was a sound, this time it felt more obvious, as if something in myself was broken. I suddenly felt panicked, so I got up and went to the toilet, but my water broke and the amniotic fluid flowed loudly. I almost cried out of fear, so I quickly called my husband and called 120 to go to the hospital. After a checkup, it was confirmed that the amniotic water had broken. There was no way to protect the fetus, so I had to give birth. The baby was hospitalized for half a month before going home.

For example, I have had a cervical cerclage, so there is a high risk of premature birth. Some people may give birth prematurely as early as 26 weeks, and some may carry it to term. It also depends on individual circumstances.

In addition to this reason, I think there are some other reasons why expectant mothers are prone to premature birth:

A mood. During my pregnancy, I had been worried about cervical surgery. I was under a lot of pressure and was afraid of premature birth, and I actually had premature birth. Therefore, it is recommended that pregnant women stay happy and relaxed during pregnancy.

Second, false contractions are early and frequent. I had stomach pains for more than 3 months (my mother-in-law picked wild vegetables from the roadside for me to eat at that time, but I didn’t expect it to be a miscarriage). I had uterine contractions after the surgery at about 15 weeks, and then I had pseudocontractions around 20 weeks. Frequent, frequent stomachaches, tightness, and swelling, and I took some medicine to prevent contractions.

The third is nutritional deficiencies. During my pregnancy, due to my mood, I didn’t like to eat, nor did I like to eat meat. I ate less and mainly vegetables. Although the baby grew quite big, the overall nutrition was still lacking. Probably all the food I eat goes to the children, and my own health is not good. There is no good nurturing environment for the child.

Therefore, during pregnancy, pregnant women should eat well, drink well, sleep well, and the most important thing is to be in a good mood.

Some complications between 28 and 37 weeks of pregnancy, such as premature rupture of membranes, may lead to premature birth. Pregnancy-induced hypertension requires early termination of pregnancy if urine protein is positive. There are multiple miscarriages in the past, and the internal cervical os is loose. , those with a past history of premature birth are likely to give birth prematurely

As we all know, premature birth has certain dangers. Premature birth means that the newborn is not born full term, which will have a certain impact on both the mother and the baby. However, not all pregnant women will give birth prematurely. Let me introduce which pregnant women are prone to premature birth.

Seven types of pregnant women are prone to premature birth

Unhealthy lifestyle

According to incomplete statistics, about 70% of women in urban areas currently have an unhealthy lifestyle. , the main manifestations are excessive mental stress and long-term physical exhaustion. Some women even lead a life that is reversed day and night, smoking, abusing drugs, and even being abused and injured. Of course, many women will improve after having a pregnancy plan, but some babies always arrive unexpectedly. These bad lifestyles have seriously affected the mother's body, thus affecting the baby's development.

Existence of lower reproductive tract infection

For women, the vagina itself has a certain bacterial prevention system, and once the acid-base balance in the body is broken, it may cause infection of the lower reproductive tract. Infections such as bacterial vaginosis. When a pregnant woman has bacterial vaginosis, it has a great impact on the baby. The most common causes are miscarriage and premature birth.

Insufficiency of the internal cervical os

For some pregnant mothers, it is caused by insufficiency of the internal cervical os. For example, the cervix becomes shorter and the shape is Funnel-shaped, this problem is mostly caused by cervical trauma (previous miscarriage and curettage) or cervical surgery (such as cervical conization).

Having a history of premature birth

As the second child policy is slowly being introduced across the country, if a pregnant mother has a premature birth with her first child, then there is a chance that the next child will be born prematurely. The probability is nearly three times higher than that of expectant mothers with no history of premature birth. If the mother-to-be's first two pregnancies were all premature, there is more than a 30% chance that the third fetus will still be premature and occur within 2 weeks before and after the previous premature birth.

Suffering from chorioamnionitis

Intrauterine infection is an important factor leading to brain damage in premature infants, and chorioamnionitis is an important risk factor for spontaneous preterm birth. Chorioamnionitis can cause intrauterine infection and often causes premature rupture of membranes and premature delivery.

Affected by genetic factors

Expectant mothers can observe through the childbirth experience of their families, especially their sisters, mothers, grandmothers, etc. If there are repeated premature births in the family, then Be careful yourself too. Studies have suggested that there is a certain relationship between premature birth and genetic factors.

Abnormal uterine development

Among the cases of abnormal uterine development, bicornuate uterus is a common type, and its premature birth rate is as high as 14%-30%. Bicornuate uterus is prone to abnormal fetal position after pregnancy. The incidence of breech and transverse position is higher than that of normal pregnancy. The incidence of premature rupture of membranes is also higher. The placenta is easy to be separated in the early stage. The incidence of intrauterine distress and IUGR is higher than that of normal pregnancy. 10 times higher than normal pregnancy. The arcuate uterus is often in a transverse position, which is also extremely detrimental to the fetus.

How to deal with signs of premature birth

Stabilize emotions: When signs of premature birth appear, expectant mothers and family members are likely to become nervous if they do not understand the situation. Therefore, when an expectant mother has premature birth, first of all, the family should stay calm and provide the expectant mother with a stable environment, which can reduce the mental burden of the expectant mother and stabilize her mood. If the expectant mother is not emotionally stable, she can take an appropriate amount of sedatives and diazepam. To place the expectant mother on bed rest, lie on the left side of the bed.

Taking tocolytic drugs: Treatment with tocolytic drugs can prolong the delivery time. During this extended period, doctors will actively use specific drugs for expectant mothers. These drugs can accelerate the development of fetal lungs. It can mature the organs and other organs and reduce the incidence of death and deformity, two common conditions in premature babies caused by immature organs. Apply drugs to change the uterus' response to stimulation and inhibit uterine contractions. Commonly used drugs include magnesium sulfate, albuterol, etc.

It should be noted that treating premature birth does not simply require prolonging pregnancy. Close observation is required during the treatment process. For expectant mothers with a poor intrauterine environment and the risk of intrauterine fetal death, treatment should be terminated and the pregnancy should be terminated as soon as possible.

Self-examination: If an expectant mother experiences regular uterine contractions, it may be a sign of premature labor. At this time, expectant mothers need to check uterine contractions to determine whether they are a sign of premature labor. Expectant mothers can put their fingers on their abdomen, and if they feel bursts of relaxation and tightening of the uterus, they can record the frequency of uterine contractions. If your contractions come every 10 minutes or so, even when you change positions, see your doctor right away.

Eating chocolate: If an expectant mother experiences uterine contraction pain, this is a sign of premature labor. Because uterine contractions during labor have a certain compression effect on the expectant mother's stomach, the expectant mother can eat some high-energy foods, such as chocolate, to relieve the pressure on the stomach and reduce labor pains. Some expectant mothers ask doctors to prescribe some labor pain relief drugs, but these drugs have side effects, such as making the expectant mother's heart beat faster and causing a sensation of heat. Therefore, labor pain relievers must be taken with caution and the expectant mother needs to be monitored in the hospital.

Seeking help from the hospital: After signs of premature labor appear, the expectant mother must be sent to the hospital for examination as soon as possible. After being sent to the hospital, the nurse will check the blood pressure, heart rate and body temperature. Then the doctor will use a detector to detect the baby's heart rate on the expectant mother's abdomen, and will also check the uterine contractions and whether the cervix has opened. If there is indeed a case of premature labor, doctors will use drugs to stop labor, allowing the baby to develop longer in the womb. Modern medicine has been able to help the fetus stay in the mother's belly for a few days longer on average. This time can be used to promote the development and maturity of your unborn baby's lungs. If labor has begun and cannot be stopped, doctors will immediately prepare the mother for a smooth delivery.

Let’s talk about how to deal with premature birth. Pregnant women at risk for preterm birth may be treated with antenatal steroids.

Current clinical practice guidelines recommend that pregnant women at 24 to 34 weeks of gestation who are at risk of premature birth can receive prenatal steroid treatment. In addition, the guidelines also encourage clinicians to expand treatment to women between 23 weeks and 23 weeks and 6 days of pregnancy. However, this recommendation is based on only a small amount of data from observational studies and clinical knowledge. A study in the United States showed that neonates exposed to steroids before birth at 23 weeks gestation had lower mortality, and young premature infants benefited the most from steroid exposure. (BMJ. Online version on March 28)

The study included 117,941 premature infants with a gestational age of 23 to 24 weeks from 2009 to 2013, and 81,832 premature infants received prenatal steroid exposure.

Dr. Sarah D. McDonald of McMaster University in Hamilton, Canada, pointed out that the timing of prenatal steroid treatment is critical to maximizing the benefits of young premature infants. Ideally, steroids are most effective when used within 1 week of delivery. However, the difficulty of predicting preterm birth results in 1/5 of premature infants being exposed to steroids before they can achieve maximum benefit. Data from a study on late preterm birth (34~36 weeks + 6 days) showed that 1/4 of newborns exposed to prenatal steroids may be complicated by hypoglycemia, which can lead to long-term neurodevelopmental deficits in ordinary premature infants. The risks of prenatal steroid exposure in older preterm infants may outweigh the benefits.

Clinicians should avoid using many prenatal steroids, McDonald suggested. Multiple steroid use may provide short-term respiratory benefits but may result in neonatal weight loss, reduced head circumference, and long-term neurosensory abnormalities.

Editor: Zhang Guangyou, deputy director of the Medical News Channel

What kind of expectant mothers are prone to premature birth?

Let me first talk about a girl Dingma knew who was born prematurely. That was the girl who worked in the same ward as Dingma gave birth in 2015. The girl was just 20 years old, very young, but very fat. There were four mothers in the delivery room, and the girl was the fattest, estimated to be at least 180 pounds. The girl's family lived in a relatively remote area, far away from the city hospital. There were almost no pregnancy tests during pregnancy. The only two tests were at a small hospital in the town.

When the girl was about 7 months old, her amniotic fluid suddenly broke while working in the fields. She went to the town hospital to confiscate it and asked her to rush to the city hospital. As a result, the baby was born on the way to the delivery room and was kept in an incubator. More than half a month. What kind of expectant mothers are prone to premature birth?

First, expectant mothers who are too old or too young during pregnancy and childbirth, ≥35 years old or ≤20 years old, are prone to premature birth;

Second , Pregnant mothers whose diet is not controlled during pregnancy, who are overweight, and have gestational hyperglycemia and gestational hypertension are prone to premature birth;

Third, pregnant mothers who are in poor health, such as heart disease, diabetes, and high blood pressure Expectant mothers are prone to premature birth;

Fourth, expectant mothers who have a history of multiple miscarriages and become pregnant again less than 1 year after the abortion; or expectant mothers with a history of premature birth are prone to premature birth;

Fifth, Expectant mothers who are malnourished during pregnancy are prone to premature birth; what kind of fetus is prone to premature birth?

First, poor fetal development, such as fetal malformations, placental insufficiency, etc., which may lead to premature birth

Second, twins or multiple fetuses may cause pain and numbness. Two friends are pregnant with twins. One gave birth when she was more than 8 months old, and the other gave birth when she was 9 months old. Of course, there are also many expectant mothers with twins who give birth to full-term fetuses. It mainly depends on various aspects. Factors, pregnant mothers who are pregnant with twins or multiple fetuses, don’t worry, take good care of your fetus~ What situations in life can cause premature birth?

First, overexertion of expectant mothers, lifting heavy objects, stretching the abdomen, etc. can cause premature birth;

Second, collision with the abdomen during pregnancy, Falling, etc., can also cause premature birth;

Third, eating a large amount of foods that are prone to miscarriage during pregnancy, or foods that are particularly cold, etc. can cause premature birth;

Fourth , Frequent stroking of the belly during pregnancy stimulates false uterine contractions and can also cause premature birth;

In summary, in addition to regular prenatal check-ups and attention to diet and exercise, pregnant mothers also need to be careful to avoid injuries.

"Ten months of pregnancy, the fruit is ripe and ready to give birth." This is the most beautiful thing during pregnancy, and the hearts of expectant mothers are full of expectations. However, many women today have unexpected events and give birth to babies early. Babies that are not born at full term are generally called premature babies. As we all know, premature birth has certain hazards. Premature babies are born with a gestational age of less than 37 weeks and a weight of less than 2,500 grams. This has a certain impact on both mother and baby. Of course, not all pregnant mothers will give birth prematurely. Today, let me introduce to you expectant mothers, which pregnant women are prone to premature birth?

Category 1: Pregnant women with reproductive tract infection

The female vagina itself has a certain bacterial prevention system, but when Because the body's resistance decreases during pregnancy, it is easy to get infected, leading to reproductive tract infections, such as bacterial vaginosis. When a pregnant woman has bacterial vaginosis, the bacteria and the toxins they produce can invade the chorionic amniotic membrane, thereby stimulating the decidual cells to produce cytotoxins and prostaglandins, causing premature birth of the baby, and even causing miscarriage.

Category 2: Overweight pregnant women

Studies have shown that overweight or obese pregnant women have a higher risk of premature birth. . Therefore, I suggest that all expectant mothers must control their diet during pregnancy. As long as the nutrition is sufficient, there is no need to eat and drink excessively. After all, being too obese during pregnancy will not only affect the baby and cause premature birth, but also cause harm to your own body, which will increase the burden on the body and cause great trouble after delivery.

Category 3: Pregnant women who are addicted to tobacco and alcohol

Smoking and drinking during pregnancy are very harmful to the baby. Pregnant women who are alcoholics have higher rates of premature birth, stillbirth and neonatal mortality than those who do not drink alcohol. In addition, I suggest that expectant mothers ask expectant fathers to quit smoking, or not smoke at home, because research shows that the harm of second-hand smoke is even greater than that of smoking yourself.

For the sake of the baby's health, expectant mothers must supervise expectant fathers!

Category 4: Malnourished pregnant women

As mentioned above, expectant mothers should not gain excessive weight during pregnancy, but You must also ensure adequate nutrition during pregnancy. Because during pregnancy, expectant mothers not only have to bear the burden of their own nutrition, but more importantly, they have to maintain the nutrition of their babies. If there is insufficient nutrition, it will definitely affect the healthy growth of the baby. In addition, the expectant mother's diet during pregnancy should not only ensure calories, but also be rich in protein, fat, carbohydrates, trace elements and various vitamins. If you have a partial eclipse, it will lead to malnutrition, which in turn will lead to poor fetal development and may also induce premature birth.

Category 5: Overtired pregnant women

I have seen pregnant mothers say before that because their bodies have always been very Okay, so I went out with my husband during my pregnancy, and I had a miscarriage not long after I came back. Therefore, I suggest that expectant mothers should not travel long distances during pregnancy to avoid bumpy roads and fatigue that may induce uterine contractions; do not stand or squat for long periods of time; do not go to crowded places to avoid collision with the abdomen; walk, especially When going up or down steps, be sure to hold on to the handrails to avoid falling.

Category 6: Pregnant women with poor sleep

Studies have found that there are symptoms in the first three months and the last three months of pregnancy. Pregnant women who have difficulty sleeping or have disturbed sleep are at greater risk of premature birth. It may be that poor sleep related to stress increases the risk of inflammation in pregnant women, which can lead to premature birth. Pregnant women improving their sleeping habits early can help reduce the risk of premature birth.

Category 7: History of premature birth

Expectant mothers who have had premature birth during pregnancy must be particularly careful because Compared with expectant mothers who have not had a premature birth, you are much more likely to have another premature birth. Therefore, during pregnancy, if there are signs of premature labor, you should go to the hospital for examination in advance to ensure the safety of mother and baby to the greatest extent.

After getting pregnant with my second child, I continued to go to work, take care of the children, and take the children to kindergarten every day. I also had to run back and forth to work every day. I never thought about myself. It was going to be a premature birth, but one day at 33 weeks, the amniotic fluid broke. The hospital kept the fetus for two days, but the amniotic fluid was turbid, and an emergency caesarean section was performed. Fortunately, the baby was developing well in all aspects, thank you. My first baby was born at full term. I think the cause of premature birth was heavy activity and tiredness.

Mommy must have heard that premature babies are not as healthy as full-term babies. We have even heard that premature babies spend one day in the womb and one week outside. This is not just a casual comment. Yes, there is a scientific basis. According to relevant statistics, premature birth is not only the main cause of perinatal mortality, but also affects the survival and health of infants and children. And the earlier the premature birth, the worse the prognosis. So what kind of mummies are more likely to give birth prematurely? Let’s talk about it below to see if mothers also have these high-risk factors. Which babies are more likely to be born prematurely

Extended question, premature babies refer to babies born between 24-36+6 weeks. The smaller the gestational age and the lighter the weight, the worse the prognosis. Poor, generally the prognosis is better for babies born after 34 weeks of pregnancy, also called near-term premature birth.