Preterm labor. Risk Factors

Preterm birth (PP) remains the leading cause of illness and death more common among babies born before completion of pregnancy. It is said that spontaneous preterm birth is responsible for most cases therefore has focused efforts on the early identification of women at risk for preterm delivery.

Have been suggested several warning signs and symptoms as risk factors for preterm birth, including cramps, pelvic pressure, vaginal discharge or spotting, back pain, uterine contractions and pelvic exam showing shortening and dilation of the cervix as Premature .. Of course, not all these signs and symptoms are significant risk factors.

However, given that irregular uterine contractions are common to all pregnancies, it is not easy to distinguish the patients are really at risk.

Dilation of the cervix two cm. or more at a gestational age of more than 25 weeks is an important predictor for the PP, where cervical shortening at 26 and 30 weeks, a modest predictor.

Thus, the patient described, on the other hand has had an uncomplicated pregnancy and whose neck is removed and is closed, should not be regarded as high risk for PP at this time. It is reasonable to advise her to call if symptoms develop, because then it can evaluate to confirm that there is no dilation. For a patient with acute symptoms, the observation might be appropriate in a specialized unit or in an outpatient setting with ability to monitor. In this way, it could monitor the patient to control the strength and frequency of contractions being able to review after one or two hours to complete if you are producing a PP

The use of tranquilizing agents of the uterus brings limited benefit in preventing PP This procedure should be reserved for women who meet diagnostic criteria for PP

 

 

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