Preterm Birth Prevention: Tips for a Healthy Full-Term Pregnancy
Risk factors include past medical history, way of life decisions, and fertility treatments.
Preterm birth, defined as a pregnancy ending before the 37th week, poses serious risks to the health of the mother and the newborn and raises the risk of perinatal morbidity and mortality.
A birth that occurs before the 37th week of pregnancy is known as a preterm birth. Preterm labour complicates 5–10% of pregnancies and is a leading cause of perinatal morbidity & mortality. Dr. Loveleena Nadir, Senior Consultant, Obstetrics & Gynaecology, Rosewalk Healthcare, Delhi, shares her input:
Risk factors include:
- Pregnancy with twins or triplets
- An interval of less than six months between pregnancies.
- Assisted Reproductive treatment, e.g., IVF and ICSI
- History of more than one miscarriage.
- History of previous premature births.
- Problems with the uterus, cervix, e.g., short cervix, placenta previa.
- Infections of the lower genital tract, sexually transmitted infections urinary tract infections, eg. , bacterial vaginosis
- Gestational hypertension & dialects.
- Lifestyle choices like smoking, alcohol intake, taking drugs, being overweight or underweight before pregnancy, stress, or getting pregnant before 17 and after 35.
The complications of prematurity in a baby could be:
- Breathing difficulty due to being born with lungs that are not fully developed.
- Heart problems & low blood pressure.
- Risk of bleeding in the brain.
- Inability to maintain body temperature due to lack of stored body fat.
- The digestive system may not fully develop in premature babies.
- They are at risk of developing anemia and newborn jaundice.
- Neurological problems like cerebral palsy.
- May lag behind many milestones.
- Vision and hearing may be affected.
Tips to prevent preterm birth:
- Avoid smoking, as it can increase the risk of sudden infant death syndrome.
- Avoid alcohol & drugs. There is no safe limit on alcohol during pregnancy.
- Get a healthy weight before pregnancy.
- Gain the right amount of weight during pregnancy.
- Doctors may advise progesterone supplements or do a cervical cerclage if the need arises.