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Premature birth

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Overview

Premature birth, also known as preterm birth, is a condition where a baby is born too early. This occurs when the birth takes place before the 37th week of pregnancy, which is significantly earlier than the typical duration of 40 weeks. Premature birth can have serious consequences for the baby's health, and the risk of complications increases as the baby is born earlier.

Types of Premature birth

Premature babies are classified into four categories based on their gestational age:

  1. Late preterm: Born between 34 and 36 completed weeks of pregnancy.
  2. Moderately preterm: Born between 32 and 34 weeks of pregnancy.
  3. Very preterm: Born between 28 and 32 weeks of pregnancy.
  4. Extremely preterm: Born before 28 weeks of pregnancy.

Causes of Premature birth

The exact cause of premature birth is unknown, but it is believed to be related to a combination of genetic and environmental factors. Some potential causes include:

  1. Genetic predisposition: Having a family history of premature birth or other hypertensive disorders.
  2. Placental abnormalities: Defects in the placenta may contribute to premature birth.
  3. Infections: Certain infections, such as urinary tract infections, can increase the risk of premature birth.
  4. Hormonal imbalances: Imbalances in hormones, such as estrogen and progesterone, may play a role in premature birth.

Risk Factors of Premature birth

Certain women are at higher risk for premature birth, including:

  1. Age: Women under 18 years old or over 35 years old.
  2. Multiple pregnancy: Women carrying twins or other multiples.
  3. Previous history of premature birth: Women who have had a premature birth in a previous pregnancy.
  4. Family history: Women with a family history of premature birth or other hypertensive disorders.
  5. Chronic hypertension: Women with a history of high blood pressure before pregnancy.
  6. Smoking: Women who smoke during pregnancy.

Symptoms of Premature birth

In some cases, premature birth may not have any noticeable symptoms. However, some women may experience:
1. Abnormal Bleeding: Spotting or bleeding during pregnancy.
2. Contractions: Mild or severe contractions that may indicate premature labor.
3. Pelvic pressure: Feeling of pressure or discomfort in the pelvis.

Preventions of Premature birth

While there is no surefire way to prevent premature birth, some strategies may help reduce the risk:

  1. Maintaining a healthy lifestyle: Engaging in regular exercise, eating a balanced diet, and avoiding smoking.
  2. Monitoring pregnancy: Regularly checking blood pressure and testing for infections during pregnancy.
  3. Managing chronic conditions: Working with a healthcare provider to control chronic hypertension and other conditions.

Diagnosis of Premature birth

Diagnosis of premature birth typically involves a combination of medical history, physical examination, and laboratory tests. The following tests may be used:

  1. Ultrasound exams: Measuring fetal growth and development during pregnancy.
  2. Fetal monitoring tests: Monitoring fetal heart rate and movement during pregnancy.
  3. Blood tests: Measuring levels of certain proteins and enzymes in the blood to detect inflammation.

Treatment for Premature birth

Treatment for premature birth typically involves careful monitoring and supportive care to help the baby develop and mature before leaving the hospital.

When to seek medical attention ?

If you experience any symptoms of premature birth or if you have been diagnosed with mild hypertension during pregnancy, it is essential to consult with your healthcare provider promptly.

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