20. Births occurring before the gestational age are called miscarriages. The onset of labor before the 37th week of pregnancy is called "premature labor". Premature birth 20-37. It is the birth that occurs between weeks of pregnancy. A healthy pregnancy lasts between 37-42 weeks. The probable birth date calculated and told to you is the time corresponding to the 40th week. Births before 37 weeks; Premature birth is called premature birth, and births that occur after 42 weeks are called late birth.
Premature birth is something we do not want.
The baby was born before it had fully reached the capacity to survive in the outside world. This can lead to very serious health problems. While some health problems can cause lifelong distress, others, such as learning disabilities, can appear in childhood and adult life. Especially babies born before the 34th week are at risk, while babies born before the 34th-37th week are at risk. Although it is less serious between weeks and weeks, it can cause health problems.
Risk factors for premature birth; These include having previously given birth prematurely, having a short cervix, a short interval between two pregnancies, a previous surgery on the uterus or cervix, multiple pregnancies, bleeding during pregnancy, not gaining enough weight during pregnancy, and smoking during pregnancy. If you encountered a premature birth problem in your previous pregnancy, you should go to the doctor before the next pregnancy occurs and be followed by an experienced specialist! When you realize you are pregnant, you should get examined as soon as possible. Additionally, if you have any of the above risk factors for premature birth, you should share this with your doctor. Your physician may apply some preventive medications and treatments according to your individual situation.
What are the symptoms of premature birth?
The symptoms of premature birth are the same as those of term birth. That is, regular contractions lead to softening and opening of the cervix. If you experience any of the symptoms before week 37, you should call your doctor immediately. Your vaginal discharge turning watery, bloody or slimy, increase in vaginal discharge, groin pain or feeling of pressure, constant back pain, abdominal cramps that may be accompanied by diarrhea, regular hardening in your abdomen and water breaking. Diagnosis of premature birth can only be made by your doctor. It can be understood by measuring the cervical opening during physical examination. If there is softening or opening, you will be monitored for a while and examined again. During this follow-up, the intensity and frequency of uterine contractions and the baby's heartbeat are also closely monitored. Another examination is to measure the length of the cervix with transvaginal ultrasound (performed through the vagina). Based on these evaluations, you may be hospitalized. Not every contraction and labor that starts before the 37th week results in premature birth. It is necessary to distinguish false contractions from contractions that prepare for birth. In only 10% of pregnant women who have started labor, it cannot be stopped and birth occurs within the next 7 days. It stops on its own in about 30% of cases. The remaining 60% can be stopped with treatment. If the health of the mother and the baby is suitable, the birth can be stopped with treatment. Anticonvulsant medications such as magnesium sulfate and nidilate may be started. Additionally, depending on your baby's week of life, medication to support lung development may be given. The aim of the treatment is to stop the birth for 48 hours so that cortisone treatment (a drug that improves the baby's lungs), whose effectiveness has been clearly proven by scientific studies, can take effect. Cortisone works by accelerating the baby's lung development. Cortisone treatment 24-34. It is effective during the gestational age and should be started immediately in case of premature birth. Another effect of magnesium sulfate, which we use as a birth arresting agent, is its protective effect on the nervous system in births before the 32nd week.
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