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Preterm Labor

WHAT YOU NEED TO KNOW:

Preterm (premature) labor occurs when the uterus contracts and your cervix opens earlier than normal. The cervix is the opening of your uterus. In preterm labor, contractions are strong enough and occur often enough to allow the cervix to open for delivery of your baby. Preterm labor happens after the 20th week of pregnancy but before the 37th week of pregnancy. An early labor could cause you to have your baby before he is ready to be born. Signs and symptoms include abdominal pain, menstrual-like cramping, low back pain, and vaginal spotting or bleeding.

DISCHARGE INSTRUCTIONS:

Call 911 for any of the following:

  • You see or feel like there is something in your vagina.

Seek care immediately if:

  • You have bright red, painless vaginal bleeding.
  • Your symptoms do not get better or they get worse.
  • Your water broke or you feel warm water gushing or trickling from your vagina.
  • You have contractions that get stronger and closer together for more than 1 hour.

Contact your healthcare provider if:

  • You notice a decrease in your baby's movement.
  • You have abdominal cramps, pressure, or tightening.
  • You have a change in vaginal discharge.
  • You have a fever.
  • You have burning when you urinate or you are urinating less than is normal for you.
  • You have questions or concerns about your condition or care.

Medicines:

  • Antibiotics may be given to treat a bacterial infection.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider or obstetrician as directed:

Write down your questions so you remember to ask them during your visits.

Self-care:

  • Rest as much as possible. You may need to lie on your left side to improve circulation to the uterus and baby. You may be able to prevent preterm labor by resting and reducing your physical activity.
  • Ask your healthcare provider about activities that are safe for you to do. Your healthcare provider or obstetrician may recommend that you avoid sexual intercourse. Ask your healthcare provider if exercise is safe.
  • Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you.
  • Do not smoke. Your baby may not grow well and he may weigh less at birth if you smoke during pregnancy. Smoking also increases the risk that your baby will be born too early. Nicotine and other chemicals in cigarettes and cigars can cause lung damage. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.
  • Do not drink alcohol. Alcohol may harm your unborn baby and cause preterm labor.
  • Maintain a healthy weight. A healthy weight may prevent preterm labor. Ask your healthcare provider how much weight you should gain during your pregnancy.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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